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Release 1AB COMMISSION MEMORANDUM TO: Honorable Mayor and Members of the City Commission FROM: Rafael E. Granado, City Clerk DATE: January 11, 2019 SUBJECT: City Commission – At-Large Nominations for January 16, 2019 – Release # 1 Below please find the City Commission At-Large Nominations received to date for the January 16, 2019 Commission Meeting. BOARD AND COMMITTEES: AFFORDABLE HOUSING ADVISORY COMMITTEE Serves on Planning Board (One Vacant Seat Available)  Daniel Veitia Nominated for appointment (Planning Board member category) by Commissioner Alemán. (Release # 1, Page 11) Essential Services Personnel (One Vacant Seat Available)  Jeremy M. Wilson Nominated for appointment (essential services personnel category) by Commissioners Steinberg and Alemán. (Release # 1, Page 19) Residential Home Building Industry (One Reappointment Seat Available)  Pilar S. Carvajal Nominated for reappointment (residential home building industry category) by Commissioner Alemán. (Release # 1, Page 27) 1 ANIMAL WELFARE COMMITTEE Miami Beach Animal Advocates, Inc. (One Vacant Seat Available)  Sara Velasquez Nominated for appointment (Miami Beach Animal Advocates, Inc. category) by Miami Beach Animal Advocates, Inc.; requires ratification by the City Commission. (Release # 1, Page 33) ART IN PUBLIC PLACES At-Large/Art (Four Reappointment Seat Available)  David Castillo Nominated for reappointment (at-large/art category) by Commissioners Alemán and Samuelian. (Release # 1, Page 43)  Michael McManus Nominated for reappointment (at-large/art category) by Commissioner Alemán. (Release # 1, Page 55)  Maria E. Ortiz Nominated for reappointment (at-large/art category) by Commissioners Alemán and Arriola. (Release # 1, Page 61)  Alpesh K. Patel Nominated for reappointment (at-large/art category) by Commissioner Alemán. (Release # 1, Page 71) BUDGET ADVISORY COMMITTEE: Financial Advisor (One Reappointment Seat Available)  Brian D. Harris Nominated for reappointment (financial advisory category) by Commissioner Steinberg. (Release # 1, Page 77) 2 DESIGN REVIEW BOARD Category 2 – FL Architect, Faculty Member; Architectural Design or Urban Planning (One Reappointment Seat Available)  F. Michael Steffens Nominated for reappointment (registered Florida architect category) by Commissioners Alemán, Arriola and Samuelian. (Release # 1, Page 83) Category 4 – US Architect, Architectural Design, Urban Design, Urban Planning, Background in Design, US Attorney.) (One Vacant Seat Available)  Samuel M. Sheldon Nominated for appointment (US licensed attorney category) by Commissioner Steinberg. (Release # 1, Page 91) At-Large (One Reappointment Seat Available)  James L. Bodnar Nominated for reappointment (at-large category) by Vice-Mayor Góngora and Commissioners Alemán, Arriola, and Samuelian. (Release # 1, Page 101) HEALTH ADVISORY COMMITTEE Physician (One Reappointment Seat Available)  Marc E. Umlas Nominated for reappointment (physician/medical training category) by Commissioner Alemán. (Release # 1, Page 109) CEO Mount Sinai (One Reappointment Seat Available)  Steven D. Sonenreich Nominated for reappointment (CEO Mount Sinai category) by Commissioners Alemán and Samuelian. (Release # 1, Page 123) 3 CEO Miami Beach Community Health Center (One Reappointment Seat Available)  Mark L. Rabinowitz Nominated for reappointment (CEO Miami Beach Community Health Center category) by the Miami Beach Community Health Center and Commissioner Alemán. (Release # 1, Page 131) Health Benefits Provider (One Reappointment Seat Available)  Sorangely Menjivar Nominated for reappointment (health benefits provider category) by Commissioner Alemán. (Release # 1, Page 141) HISTORIC PRESERVATION BOARD MDPL (One Reappointment Seat Available)  Scott A. Needelman Nominated for reappointment (Miami Design Preservation League (MDPL) category) by Vice-Mayor Góngora and Commissioner Samuelian. (Release # 1, Page 151) DHT (One Reappointment Seat Available)  Kirk Paskal Nominated for reappointment (Dade Heritage Trust (DHT) category) by Vice-Mayor Góngora and Commissioner Samuelian. (Release # 1, Page 159) Has Resided in a Historic District (One Reappointment Seat Available)  Nancy Liebman Nominated for reappointment (has resided in a Historic District category) by Vice-Mayor Góngora and Commissioner Samuelian. (Release # 1, Page 165) 4 HUMAN RIGHTS COMMITTEE At-Large (Four Vacant Seats Available)  Alan B. Fishman Nominated for appointment (at-large category) by Vice-Mayor Góngora. (Release # 1, Page 177)  Michael Sherman Nominated for appointment (at-large category) by Vice-Mayor Góngora. Application to be provided. (Release # 1, Page N/A)  Dale Stine Nominated for appointment (at-large category) by Vice-Mayor Góngora and Commissioner Samuelian. (Release # 1, Page 185)  Jonathan J. Welsh Nominated for appointment (at-large category) by Vice-Mayor Góngora. (Release # 1, Page 193) At-Large (Three Reappointment Seats Available)  Francinelee Hand Nominated for reappointment (at-large category) by Vice-Mayor Góngora and Commissioner Samuelian. (Release # 1, Page 203)  Amy L. Rabin Nominated for reappointment (at-large category) by Vice-Mayor Góngora and Commissioner Steinberg. (Release # 1, Page 211) NEXT GENERAL COUNCIL Real Estate (One Vacant Seat Available)  Jefferson E. Brackin Nominated for appointment (real estate category) by Commissioner Arriola. (Release # 1, Page 219) 5 Architect /Engineer (One Vacant Seat Available)  Wesley C. Kean Nominated for appointment (architect category) by Commissioner Arriola. (Release # 1, Page 225) NORMANDY SHORES LOCAL GOVERNMENT NEIGHBORHOOD IMPROVEMENT At Large (Two Vacant Seats Available)  Dr. Susanne Demmerle Nominated for appointment (at-large category) by the Executive Board of the Normandy Shores Homeowners Association and Commissioners Alemán and Samuelian. (Release # 1, Page 235)  Diane Klein Nominated for appointment (at-large category) by the Executive Board of the Normandy Shores Homeowners Association and Commissioner Alemán. (Release # 1, Page 243) At Large (One Reappointment Seat Available)  Carmen M. Brown Nominated for reappointment (at-large category) by the Executive Board of the Normandy Shores Homeowners Association and Commissioner Alemán. (Release # 1, Page 253) PARKS AND RECREATIONAL FACILITY Golf (One Reappointment Seat Available)  Wil Martinez Nominated for reappointment (golf category) by Commissioner Alemán. (Release # 1, Page 259) PERSONNEL BOARD (5/7 vote required) Vocation - Managing Partner/Investments (One Reappointment Seat Available For This Vocation) (5/7 Vote Required)  Florencia Jimenez-Marcos Nominated for reappointment (vocation - investments) by Commissioners Alemán and Samuelian. (Release # 1, Page 265) 6 Vocation - Psychotherapist (One Reappointment Seat Available For This Vocation) (5/7 Vote Required)  Gail L. Harris Nominated for reappointment (vocation - psychotherapist) by Commissioners Alemán and Arriola. (Release # 1, Page 273) PLANNING BOARD Category 4 - Education and/or Experience in Historic Preservation Issues (One Reappointment Seat Available)  Daniel Veitia Nominated for reappointment (education and/or experience in historic preservation issues category) by Commissioners Alemán and Arriola. (Release # 1, Page 281) Category 5 – At-Large/General Business (One Reappointment Seat Available)  Andres Asion Nominated for appointment (at-large/general business category) by Vice-Mayor Góngora. (Release # 1, Page 289)  Kareem Brantley Nominated for reappointment (at-large/general business category) by Commissioner Alemán. (Release # 1, Page 295) Category 1 – Faculty of School of Architecture (One Reappointment Seat Available)  Nicholas R. Gelpi Nominated for reappointment (faculty of a school of architecture) by Commissioners Alemán, Arriola, and Samuelian. (Release # 1, Page 305) 7 SENIOR AFFAIRS COMMITTEE Mount Sinai Medical Center Administrator (One Reappointment Seat Available)  Oscar Llorente Nominated for reappointment (Mount Sinai Medical Center administrator category) by Vice-Mayor Góngora and Commissioner Samuelian. (Release # 1, Page 343) Four Freedoms House Resident (One Reappointment Seat Available)  Enilda F. Thomas Nominated for reappointment (Four Freedoms House Resident category) by Vice- Mayor Góngora. (Release # 1, Page 355) At-Large (Two Reappointment Seats Available)  Sixto A. Acea Nominated for reappointment (at-large category) by Vice-Mayor Góngora. (Release # 1, Page 363)  Bernardo Collado Nominated for reappointment (at-large category) by Vice-Mayor Góngora. (Release # 1, Page 371) TRANSPORTATION, PARKING, AND BICYCLE-PEDESTRIAN FACILITIES COMMITTEE Miami Beach Community Development Corporation (One Reappointment Seat Available)  Kathaleen M. Smarsh Nominated for reappointment (Miami Beach Community Development Corporation (MBCC) category) by Commissioner Samuelian and the Miami Beach Community Development Corporation. (Release # 1, Page 377) Miami Design Preservation League (MDPL) (One Appointment Seat Available)  Stuart R. Reed Nominated for appointment (Miami Design Preservation League (MDPL) category) by the Miami Design Preservation League (MDPL); requires ratification by the City Commission. (Release # 1, Page 389) 8 VISITOR AND CONVENTION AUTHORITY At Large (Two Reappointment Seats Available)  Steven N. Adkins Nominated for reappointment (at-large category) by Vice-Mayor Góngora and Commissioners Alemán, Arriola, and Samuelian. (Release # 1, Page 397)  Jeff M. Lehman Nominated for reappointment (at-large category) by Vice-Mayor Góngora and Commissioners Alemán and Samuelian. (Release # 1, Page 405) Hotel Industry (One Reappointment Seat Available)  Christopher Rollins Nominated for reappointment (hotel industry category) by Vice-Mayor Góngora and Commissioners Alemán and Samuelian. (Release # 1, Page 413) F:\CLER\$ALL\REG\COMMISSION MEETINGS\2019\01162019\01162019 - RELEASE # 1.docx 9 10 Daniel Veitia 11 THIS PAGE INTENTIONALLY LEFT BLANK 12 g MIAMI BEACH NAME: Veitia CITY OF MIAMI BEACH BOARD AND COMMITTEE APPLICATION FORM Last Name HOME ADDRESS: 1525 Normandy Drive First Name Miami Beach Florida Middle lnitial 33141 Apt No. Home No./Street PHONE: (305) 219.3408 (305) 403-0657 City State Zip Code daniel@urbanresource.com Home Email Address Business Name: Urban Resource position: Realtor Property Mgr. Address: 1193 71st St Miami Beach Florida 33141- Street State Zip Code Pursuant to City Gode section 2-22(41a and b: Members of agencies, boards, and committees shall be affiliated with the city; this requirement shall be fulfilled in the following ways: a) an individual shall have been a resident of the city for a minimum of six months; or b) an individual shall demonstrate ownership/interest for a minimum of six months in a business established in the city. o Resident of Miami Beach for a minimum of six (6) months Yes o Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: Yes o Are you a registered voter in Miami Beach: Yes o (Please circle one): I am now a resident of: North Beach o I am applying for an appointment because I have special abilities, knowledge and experience. Please list below: o Are you presently a registered lobbyist with the City of Miami Beach? No Please list your preferences in order of ranking [1] first choice [2] second choice, and [3] third choice. Please note that only three (3) choices will be observed by the Citv Glerk's Office. (Regular Boards of City) Choice 1: Planning Board Choice 2: Mayo/s lT Systems Review Blue Ribbon Panel Choice 3: * Board members are required to file Form I - "statement of Financial Interest" with the State. lf you seek appointment to a professiona! seat (e.9., lawyer, architect, etc.) on the Board of Adjustment, Design ReviewBoard, Historic Preservation Board or Planning Board, attach a copy of your currently-effectively license, and furnish thefollowing information: Type of Professional License License Number License Expiration DateLicense lssuance Date Note: lf applying for Youth Advisory Board, please indicate your affiliation with the Scott Rakow Youth Center: 1. Past service on the Youth Center Advisory Board: po years of Service: 2. Present participation in Youth Center activities by your children No if yes, please list the names of your children, their ages, and which programs. List below: City Child Name Age Program 13 . Have you ever been convicted of a felony: No lf yes, please explain in detail: o Do you currently have a violation(s) of City of Miami Beach codes: No lf yes, please explain in detail: o Do you currently owe the City of Miami Beach any money: No lf yes, please explain in detail: o Are you currently serving on any City Boards or Committees: Yes Planning Board lf yes, which board? o What organizations in the City of Miami Beach do you currently hold membership in? o I am now employed by the city of Miami Beach: No Which department? o List all properties owned or have an interest in, which are located within the City of Miami Beach: Property 1525 Normandy Dr 117 S Shore Drive 1191-1203 ilst Street Gender: Male The following information is voluntary and is neither part of your application nor has any bearing on your consideration for appointment. lt isbeing asked to comply with federal equal opportunity reporting requirements. Race/Ethnic CategoriesWhat is your race? Mark one or more races to indicate what you consider yourself to be. White Other Description: Are you Spanish/Hispanic/ Latino? Mark the "No" box if not Spanish / Hispanic / Latino. Yes PhysicallyChallenged: No NOTE: lf appolnted, you wlll be requlred to follow certaln laws whlch apply to clty board/commlttee members.These laws include, but are not limlted to, the following: o Prohibition from directly or indirectly lobbying city personnel (Miami Beach City Code section 2-459).o Prohibition from contracting with the city (Miami-Dade County Code section 2-11.1).o Prohibition from lobbying before board/committee you have served on for period of one year afler leaving office (Miami Beach Code section 2-26).o Requirement to disclose certain financial interests and gifts (Miami-Dade County Code section 2-1 1 .1). (re: CMB Community Development Advisory Committee): prohibition, during tenure and for one year after leaving office, from having any interest in or receiving any benefit from Community Development Block Grant funds for either yourself, or those with whom you have business or immediate family ties (CFR 570.61 1). Upon request, copies of these laws may be obtained from the City Clerk. 14 "l hercby atteet to tlre accurrcy and truthfulner of ihc appllcatlon ald have rocelrcd, read and wlll ablde by Chapbr 2, ArtlclcVll - of the Clty Code "Stlndadr of Conduc't for Clty Oficorl, Employer and Agoncy tembctr." I Danlet VeiUa agrued to the lollowlng terms on 12t512}183:r8:51 Pt Received ln the Clty Clerk's Ofilce by: Name of Deputy Clerk Control No. Date 15 1525 Normandy Drive, MiamiBeach, FL 33141 305.219.3408 daniel@northbeachnews.com llaniel Ueitia ?trlcssicnrl Ur[rn f,csurGc, Orncr/Prcsldcnt, 2008 - Prcscntllghllg[tS . Reat Estate Brokerage Firm. Property Management Firm. Project/Construction Management SeMoes. Licensed Real Estate Brokerand CAM lntrrurti.n.l tteFtlcs, lgg0 - 2002. FS Trucking, Vice President. Maensk-Sealand, North Amedcan Openations Manager. Pronto Cargo, Operations Man4er/Owner GfmmUnl[ Steering Committee for North Beach Master Plan lnurlucmcni Bue Ribbon panetfor North Beach CMB Planning Board Member Founding Member, Fainrvay Park Neighborhood Association Past President, Normandy lsle North Neighborhood Association Past President, North Beach Development Corp. Past President, North Beach Bandshell Park Trust Past President Cunent Member, Rhythm Foundation Past Board Member, Miami Beach Community Dev Corp. Founding Member, North Shore Neighborhood Association Committee Member, Hunicane Task Force (C.M.B) Leadership Miami Graduate (2005, Miami) Leadership Academy Graduate (2006, C.M.B) Citizens Police Academy Graduate (2006, C.M.B.) C.E.R.T. Graduate IdUCftlfn BusinessAdministration, BBA University of Miami 1997 TallahasseeCommunityCollege 1994Business Administration, M 16 * *.# /tv'a i'r\Stie Fq}ft 'nF .S*** {* 1$, *F \$t\.*dt q *F @- a ,,_aI, ,tr::ii ::;: !::'il::'IIlll r .. t 1.._ .. a. t... r.. tl. - - - r.l .-...... ;.. i.J.,!., I' ' ,,'iil.t!r4 (r ffiil ,,1=' rf:ijr::tri:ri.'','..,.. r rI \lii.....'"' Z :i,'r':ii i :i ti.t .i.'r:iii.l t, i i trrltt--.llal'Dll r t. r. t::. t r.. ' r:,irr.-\:.:'l.lt t : : : i 1i1. : : iii', : : : : '''iili Ii;, : i i;l i irlii i r11 i i i :i11r\' :ii1':'::l:.:.:.ll..,ii, : i i :ii ii,i =L_ r r r r r r r. r. r. ' t t i:-.. ,.:ii -.larltltarr;ftr. rrataalrar! -,'a'a' ' i::i. :.:: :':i'::::1'jj''si;:; :'::l i.;:;'}lffi^l,'l"loj"- - -.J.!, 17 THIS PAGE INTENTIONALLY LEFT BLANK 18 Jeremy M. Wi Ison 19 THIS PAGE INTENTIONALLY LEFT BLANK 20 E MIAMI BEACH NAME: YVllson CITY OF MIAi'I BEACH BOARD AND COMMITTEE APPLICATION FORM Jeremy Last Name HOME ADDRESS: 1750 Jamee Avenue First Name Miami Beach Florida Middle lnitial 33139 Apt No. Home No./Street PHONE: 2123630892 City State Zip Code jeremymwilson@gmail.com Home Wo* Business Name: 32BJ SEIU position: Labor Polltcs Address: l3l3 NW 36th Street Miami Florida 33142 Email Address Streel State Zip Code Pursuant to Clty Gode sectlon 2-2:2141a and b: Members of agencies, boards, and committees shall be affiliated with the city; this requirement shall be fulfilled in the following ways: a) an individual shall have been a resident of the city for a minimum of six months; or b) an individual shall demonstrate o^,nership/interest for a minimum of six months in a business established in the city. o Resident of Miami Beach for a minimum of six (6) months Yes o Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: Yes o Are you a registered voter in Miami Beach: Yea o (Please clrcle one): I am now a resident of: South Beach o I am applying for an appointment because I have special abilities, knowledge and experience. Please list below: I work wlth and represent servlce employees ln the foltowlng sectotB: prlvate and organlzed securlty and cleanlng, landscape, o Are you presently a registered lobbyist with the City of Miami Beach? No Please list your preferences in order of ranking [1] first choice [2] second choice, and [3] third choice. Please note that only three (3) choices wlll be observed by the Clty Clerk's Offlce. (Regular Boards of City) Choice 1: Affordable Housing Advisory Committee Choice 2: LGBTQ Advisory Committee Ghoice 3: CulturalArts Council * Board members are rcqulred to fils Form 1 - "stalement of Fanancaal lnterest'with the State. lf you seek appointment to a profersional aeat (e.9., Iawyer, architect, etc.) on thc Board of Adlustment, Design ReviewBoard, Hislorlc PreservaUon Board or Planning Board, attach a copy of your currently-effectlvely license, and fumish thefollowlng lnformatlon: Type of Professional License License Number License Expiration DateLicense lssuance Date Note: lf applying for Youth Advisory Board, please indicate your affiliation with the Scott Rakow Youth Center: 1. Past service on the Youth Center Advisory Board: p6 years of Service: 2. Present participation in Youth Center activities by your children No if yes, please list the names of your children, their ages, and which programs. List below: City 21 . Have you ever been convicted of a felony: No lf yes, please explain in detail: r Do you currently have a violation(s) of City of Miami Beach codes: No lf yes, please explain in detail: r Do you cunenfly owe the City of Miami Beach any money: No lf yes, ploase explain in detail: . Are you cunently serving on any City Boards or Committees: No lf yes, which board? o What organizations in the City of Miami Beach do you cunently hold membership in? o lamnowemployedbythecityofMiamiBeach: No Whichdepartment? o List all properties owned or have an interEst in, whicfr are located within the City of Miami Beach: Gender: none The lollowing Informatlon le voluntary and Is nelther part ol your appllcatlon nor has any bearing on your consldoratlon for appointment. lt lcbelng asked to complyr wlth federal equai opportunlty reportlng requlrementr. Race/Ethnic CategoriesWhat ls your race? Mark one or more races to indicate what you consider yourself to be. none Other Description: Are you Spanish/Hispanic/ Latino? Mark the'No'box if not Spanish / Hispanic / Latino. No PhysicallyChallenged: No NOTE: lf appolnted, you wlll be requlred to follow cailaln laws whlch apply to clty boardlcommlGee memberr.Thcoc lawc Include, but are not llmlted io, the followlng: o Prohibition from dlrectly or indirectly lobbying city personnel (Miami Beach City Code section 2.459).o Prohlbltlon from contractlng wlth the clty (MlamFDade County Code sectlon 2-11.1).o Prohibition from lobbying before board/committee you have served on for period of one year after leaving ofiice (Miami Beach Code section 2-26).o Requiremerfi to disclose certrain financial interesE and gifis (Miami-Dade County Code section 2-11.1). (re: CMB Community DevelopmentAdvisory Committee): prohibition, dudng tenure and for one year after leaving offica, from having any interest in or receiving any benefit from Community Development Block Grant funds for either yourself, or those with whom you have business or immediate family ties (CFR 570.611 ). Upon request, copler of these laws may be obtalned from the Cfi Clerk. "l horoby attest to tho accuracy and truthfulneec of the lppllcatton and have rocelved, road and will ablde by Chrpt.r 2, ArtlcleVll - of the Clty Code "Standerdr of Conduct for Clty Offlcers, Employeeo and Agcncy Memberr." I Jeremy YUilEon agreed to the following terms on 3/51201E 10:01:53 AM Received in the City Clerk's Offce by: Name of Deputy Clerk Control No.Date 22 JEREMY M. WILSON i750 James Avenue, Apt. 5F Miami Beach, FL 33t39 (zr:) 353o892 jeremymwilson@gmail.com EXPERlENCE 32BJ Servlce Employees lnternational Unlon Deputy Political Director - Multi-State, December 2016 - Present Manage political department structure and political-member development (leadership/activism) program in all t>-3zBJ jurisdictions. (New Hampshire, Massachusetts, Rhode lsland, Connecticut, New Jersey, New York, Pennsylvania, Delaware, Maryland, DC, Virginia, and Florida) Lead state politicalstaff in developing and implementing their political program (electoral, legislative, member engagement in relationship to larger organizational goals. Hold staff development, budget process, political relationships, community relationships, and labor relationships. lnterface with external partners (labor/non-labor) and liaison with umbrella organization, Service Employees lntemational Union, on political-member engagement programming. Help to shape and approve allforms of media used in intemal political messaging. Deputy PoliticalDirector - Multi-State South, April zot3 - December zot6 Manage political department structure and program in nine districts (Connecticut, New Jersey, Pennsylvania IEastern and Western districts], Delaware, Maryland, DC, Virginia, and Florida) of 3zBJ SEIU's 12 states. Lead political directors in developing and implementing their political program (electoral, legislative, and member engagement plans), as well as staff development, budget, political relationships, community relationships, and labor relationships. lnterface with outside electoral and legislative consultants and liaison with lnternational Union on all political, electorat, and member engagement programming. Help to shape and approve allmedia and messaging used extemally. tggSEtU - Unlted Healthcare Workerc East Political Orgonizer - NewYork, April zoro - December zort Political Coordinotor - New York, )anuary 2012 - Present Staffed Florida Region for to-months as senior staff member for zotz Breakthrough Campaign (independent expenditure) which re-elected Obama and won i2 other progressive US Congress - Statelevel down ballot candidates. Provide political education and empowerment to union members and community activists through trainings, one-on-one meetings, and the creation of political/member action committees. Form and maintain relationships with elected officials, candidates, and community activist groups. Coordinate election activities for candidates across New York State, including: community forums and roundtables, retail politicking, door-tedoor canvassing, phone banks, and hot spot/visibility activities. Staff 1199 regional political directors as needed/requested: Florida, Maryland, Massachusetts, New Jersey, and New York. Change thatWorks Campaign I Healthcare Reform Campalgn (tq9 SEIU) State Field Director - Florido, April zoog - September 2oo9 Managed relationships and guided development of coalition partners' strategl, field plan, targets, lobbying and activities for grassroots and grasstops efforts. Set priorities and held one-on-one meetings, briefings and debriefings of campaign activities, and troubleshot campaign mission, message, and logistics for 45 staff in 6 different regions across the state. Determined internal field priorities and activities including planning and execution of a r,2oo-person rally. 2oo9 New York State Budget Campalgn I Campaign for Fair Share Tax Reform (rr99 SelU) Copital Region Lead Organizer - Albany, NY, February 2oo9 - April 2oo9 23 Served as coordinator for the Capital Region within the statewide campaign structure. Organized and managed community partnership agendas to incorporate campaign priorltles and best pnlctices. Represented campaign at community meetings - religious, advocacy, good-government and neighborhood groups - to provide education and solicit support. Coordinated community rallies and all-upstate lobbying efforts. American Dream Campaign lObama zoo8 (r99 SEIU) Regional Director - Renq Nevada, September zooS - November zoo8 Managed a staff of z5 union and nonunion members on Obama u oo8 independent expenditure campaign that registered>378 newvoters and knocked 43,31j doors in four rural, northern Nevadan counties. Deployed zoo union members from California in rural Nevada for Weekend Voter Contact Program. Directed voter registration, identification and persuasion programs in 4 ruraUurban counties. New York City Council Speaker Christine C. Quinn LesbianlGaylBisexuo[Transgender andHlVlAIDS Community Liaison, October zoo7 - September uoo8 Represented LGBT community and HIV/AIDS communities' interests in all aspects of the City Council including: legislation, policy, budget, and outreach. Networked the LGBT and HIV/AIDS communities; advocacy organizations, service providers, professional organizations and clubs; with similarly mission-focused organizations, the City Council, and Mayoral Agencies to create strong coalitions to effect city legislation, policy, and budget allocations. Vetted LGBT and HIV/AIDS grant requests made to the Speaker's office from individuals and organlzatlons. Direct constituent services. Freeman Philanthropic Services, LLC Proiect Associote - New York, NY, September zoo6 - October zooT Networked throughout the nonprofit community to find, vet, and match candidates to specific client needs. Researched organizations/institutions and prepared executive search materials, i.e. position profiles, ad copy, and presentations. Planned medium to large-scale events for high profile philanthropists and represented firm at national conferences. New York State Assemblymember Llnda B. Rosenthal (Olstrlct 67 - Upper West Slde, Manhattan) District Coordinotor, March zoo6 - September zoo6 Represented and acted as surrogate for Assemblymember in the district during legislative session. Operated as liaison between all community organizations, city and state agencies, elected officials'offices, labor, politicalclubs, and Community Boards. Wrote, edited and reviewed correspondence, newsletters, and other mailings. New Yorkers for Ferrer Director of Volunteer Operations, June - November 2oo5 Recruited, organized, and managed 5o-person political internship program, 1oo core activists citywide and thousands of volunteers. Coordinated campaign events with federal, state, and local elected officials and staff. Handled Democratic Mayoral Primary petitioning process citywide and Manhattan Election Day operation. America Coming Together (tt99 SEIU) Assistont Northeost Field Director - Ohio, July - November zoo4 Served as liaison to State and Natlonal offlces. coordinated Gow transportation logistics and deployment of 15 staff and 4oo volunteers. Page2 of3 24 Directed voter outreach programs lncludlng volunteer absentee ballot and nelghbor-toneighbor drlves. Vourt{TEERtSM El Frente Naclonal de Trabafadores/lntematlonal Electlon Observatlon - Nlcaragua (November zon) Abercromble for Govemor Campalgn - Hawall (September 2oo9 - Februory zorc) Organizing for America Hawaii (September 2oog - February zoto) Na Mea Hawaii (November zoog - February zoro) 5Ku5 Creative strategist, adaptable, able to navlgate highpressure situations. Proficient in Spanish. EpuCAITot Manhattanyllle College, Rrrchase, NY - zoo3 Bachelor of Arts in lntemationa! Studies Social Justice lntemship, Nepal - Summer zoot SemesterAbroad, Seville, Spain - Fallzoot Wellstone Action! Advanced Campaign Management - November zo't't Rockwood lnst{hrtq The Art of Leadership - January zot3 Pagc 3 of3 25 }Iiit1i,i, 26 Pilar S. Garvajal 27 THIS PAGE INTENTIONALLY LEFT BLANK 28 E MIAMIBEACH NAI1IE: Carvajal CITY OF MIAMIBEACH BOARO AND GOM]TIITTEE APPLICATION FORT Pilar Last Name HOUE ADDRESS: 4541 Post Avenue First Name Miami Beach Middle lnitial FL 33r40 APt No. Home No./Street PHONE: 305439-7050 1800425'991 State Zip Code pilarcarvajal 1 01 @gmail.com City Home Work Business Name: lnnovation Senlor Manaqement Posilion: Owner' GEO Email Address Address: 1668 Meridian Avenuc Suite 700 Mlaml Beach FL 33139State Zip Code Pursuant to Clty Code section 2-22141a and b: Members of agencies, boards, and mmmittees shall be affiliated with the city; this requirernent shall be fulfilled in the following ways: a) an individual shall have been a resident of the city for a minimum of six months; or b) an individual shall demonstrate ownership/interest for a minimum of six months in a business established in the city. o Resident of Miami Beach for a minimum of six (6) rnonths Yes o Demonsfate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: Yes o Are you a registered voter in Miami Beach: Yes o (Please circle one): I am now a resident of: Middle Beach o I am applying for an appointment because I have special abilities, knowledge and experience. Please list below: I am an assisted lavang operator. I have worked with affordable houslng llcenslng it as asristed living o Are you presently a registered lobbyist with the City of Miami Beach? No Please list your preferences in order of ranking [1] first choice [2] second choice, and [3] third choice. Please note that only thrce (3) choices will be obsewed by the Citv Clerk'c Ofrlce. (Regular Boards of City) Choice 1; Health Facilities Authority Board Choice 2: Housing Authority Choice 3: Affordable Housing Advisory Committee Note: lf applying for Youth Advisory Board, please indicate your affiliation with the Scott Rakow Youth Center: 1. Past service on the Youth Center Advisory Board: ;go years of Service: 2. Present participation in Youlh Center activities by your children Yos if yes, please list the names of your children, their ages, and which programs. List below: Child Name Age Program Joaquin Carvajal 10 Scott Rakow Alexia Carvajal 8 Scott Rakow o Have you ever been convicted of a felony: No lf yes, please explain in delail: City . Do you cunently have a violation(s) of City of Miami Beach codes: No lf yes, please explain in detail: o Do you currently owe the City of Miami Beach any money: No lf yes, please explain in detail: o Are you currently serving on any City Boards or Committees: Yes Affordable Housing o What organizations in the City of Miami Beach do you currently hold membership in? lf yes, which board? 29 Name Friends of North Beach Elementary Title Board Member o List all properties owned or have an interest in, which are located within the City of Miami Beach: Property 4541 Post Avenue Miami Beach FL 33140 o I am now employed by the city of Miami Beach: No Which department? The following information i8 volunlary and ir neither part of your applicrtlon nor hls any bcaring on your consideration for appointment. lt i! being .stcd to comply with federal equal opportunlty reportlng rogulrements. Gender: Female Race/Ethnic Categories What is your race? Mark one or more races to indicate what you consider yourself to be. White O,ther Description: Are you Spanish/Hispanid Latino? Mark the "No" box if not Spanish / Hispanic / Latino. Yes PhysicallyChallenged: No NOTE: lf appolntcd, you wlll bc requlred to lollow certaln laws which apply to clty board/commlttoe momberc.Thore laws lnclud€, but are not llmlted to, the following: o Prohibition frorn directly or indirectly lobbying city personnel (Miami Beach City Code section 2-459).o Prohibition from contracting with the city (Miami-Dade County Code section 2-11.1).o Prohibition from lobbying before board/committee you have served on for period of one year after leaving office (Miami Beach Code sectlon 2-26). Requirement lo disclose certain financial interests and gifls (Miami-Dade County Code section 2-11.1). (re: CMB Community Development Advisory Committee): prohibition, during tenure and for one y6ar after leaving office, from having any inlerest in or receiving any benefit from Community Developrnent Block Grant funds for either yourself, or tho6e with whom you have business or immediate family ties (CFR 570.611). Upon r6quest, coples of theso lawB may be obtalned from the Glty Glerk. "l hereby attett to the rccuracy rnd truthfulnctr of thc appllcatlon and have recelved, road and wlll abide by Ghapier 2, ArtlcloVll - of the Glty Code "St8ndtrd. of Conduct lor Clty Offlcerc, Employee. and Agoncy temberr." I Pllar Carvajal agreed to the following terms on 1012312016 5:07:26 PM Received in the City Clerk's Office by: Control No.Name of Deputy Clerk 30 PILAR B. CARVAJAL WORK EXPERIENCI: Innovation Senior Menagement (Miami, FL) March 2016-Present Owner, CEO Mia Senior Living Solutions (Miami Beach, FL) Aug. 2001 - Present Owner, COOo Provide consulting and management services to for profit and non-profit companies establishing senior living projects including assisted living facilities and adult day care centers. Company has created new housing models for the elder market. Established and managed the first public housing assisted Iiving facility in the nation. Experts in securing service and rental subsidies for the residents of our communities including Medicaid, VA Aid & Attendance and Section 8 vouchers.r Certified LIUD232 Operators. Ccrtified assisted living administrator in the State of Florida. IBM Global Merjers & Acquisitions (New York, NY) Aug. 2000 - Aug. 2001 Senior Consultant/Americas MM Practice Fast Track Programo Developed, implemented, and institutionalized new processes, assets, tools, and methodology for the new offering. Led an internal executive awareness program to heighten awareness oflBM M&A offering and generated new channelso Dweloped and executed marketing collateral, business development opportunities, and client pitcheso Participated on collaborative global initiativcs across the Americas, Europe, and Asia Pacific.o Designed the global M&A Methodology training course, Coordinated and facilitated global lcadership meetingso (lreated a weekly article ofinterest alerting the business developers to current trendsn deals, industry news, and competition Accenture (New York, NY/Washinglon DC) lan.97 - Aug. 2000 C o nsul t ant/ O r gan izat i on & Hum an P e dormanc e C o m pe te nc y G r oup. Built personal and professional relationships with clients. Understood the client's business issues suitably to offer added value.. Developed a tiered help desk for a telecommunications client. Redesigned the existing help desk organization and work proc€ss.o Designed, del'eloped and enhanced Accenture staffing processes. Designed jobs, roles and teams to support the new staffing process. Developed a hiring process for a new telecommunications organization that included competency modeling, hiring and manag€ment of external search firms, creation of interview guides, identification, screening and interviewing of candidates.r Coordinated and facilitated focus groups sessions designed to meet the specific goals ofsponsorship for new organization.o Managed an IT communications strategy project as a result of a merger of two global pharmaceutical cornpanies.o Designed and created six business training modules for a small telecommunications client and global pharmaceuticals company. NYK Bulkship (USA) (New York, NY) Nov. 95 - Dec 96 Market i ng A naly st/Qual ity Spe c i ali sto Prepared analysis used in the formulation of the company strategy in the Latin American trade route.o Developed an approach of process continuous improvement to achieve Ford Ql Award for Quality and ISO 9000 certification. Boehringer Mannheim Pharmaceuticals (Miami, FL) Sept. 92 - Sept. 94 Marketing Representative in Greuler Miami Areao Established personal credibility with clients and delivered relevant product knowledge in Spanish, English and French.o Planned and coordinated oum work effort to excced sales targets to become top salesperson in the S. Florida Region.o Developed and implemented approaches to maintain a targeted list of physicians and hospitals that generated high profits. VOLUNTARY E)OERIENCE: Miami Chamber of Commerrce Health Care Committee (Miami, FL) May,2016 Friends of North Beach Elcmentary (Miami Bcach, FL) Board Member (Nominated) 2012-Present Town of Surfside Parks & Recreetion Board (Surfside, FL) Chairperson (Nominated) 2010 - 201I Smith College (Northampton, MA) Class Vice-President (Elected). Organizetenth year alumnae reunion. Five-year position. 1997 - 2002 Miami Cluh President (Elected). Provide leadership to officers/ members. 2003 - 20ll Junior League (Miami, FL) Member (Nominated) Voluntary Community Service. 2003-2009EDUCATION: Goldmen Sachs 10,0(X) Small Business Program Alumni (Miami, FL) 2016 Greater Miami Chamber of Commerce Graduate (Miami, FL) 2005-2006 London School of Economics and Political Science (tondon, UK) 1994 - 1995 Master of Science . Faculty of Economics. Merit Graduate. Student liaison for the post graduate dormitory. Smith College (Northampton. MA) 1990 - 1992 Bachelor of Arts. Government Major. Senior Class President. Chairperson of Model United Nations. Miami-Dade Community College (Miami, FL) 1988 - 1990 Associate of Arts. Honors Graduate. Full scholarship award. Summer Study Program in Aix, France. 31 32 Sara Velasquez 33 THIS PAGE INTENTIONALLY LEFT BLANK 34 g MIAMIBEACH NAME: Velasquez CITY OF MIAMIBEACH BOARD AND COMMITTEE APPLICATION FORM Sara Last Name HOME ADDRESS: 331 85th Street First Name Miami Beach Florida Middle lnitial 33141 Apt No. Home No./Street PHONE: 786'2234078 City State Zip Code svelasquez6S@live.com Home Work Email Address Business Name: MBAA Miami Beach Anlmal Advocates position: Architect, Art Representative, Animal Advocate Address: Street State Zip Code Pursuant to Gity Code section 2-22(41a and b: Members of agencies, boards, and committees shall be afiiliated with the city; this requirement shall be fulfilled in the following ways: a) an individual shall have been a resident of the city for a minimum of sixmonths; or b) an individual shall demonstrate ownership/interest for a minimum of six months in a business established in the city. o Resident of Miami Beach for a minimum of six (6) months Yes o Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: Yes . Are you a registered voter in Miami Beach: Yes o (Please circle one): I am now a resident of: North Beach o I am applying for an appointment because I have special abilities, knowledge and experience. Please list below: I have been a very strong part of the growth pf MBAA for thecpast 3 and a half years. ! have advocated, rescued, fostered, and o Are you presently a registered lobbyist with the City of Miami Beach? No Please list your preferences in order ot ranking [1] first choice [2] second choice, and [3] third choice. Please note that only three (3)choices will be observed bv the Cittr Clerk's Office. (Regular Boards of City) Choice 1: AnimalWelfare Committee Ghoice 2: Art in Public Places Committee Choice 3: CulturalArts Council * Board members are required to fite Form 1 - "statement of Financial lnterest" with the State. !f you seek appointment to a professional seat (e.9., lawyer, architect, etc.) on the Board of Adiustment, Design ReviewBoard, Historic Preservation Board or Planning Board, attach a copy of your currently.effectively license, and furnish thefollowing information: Type of Professional License City License lssuance Date License Number License Expiration Date Note: lf applying for Youth Advisory Board, please indicate your affiliation with the Scott Rakow Youth Center: 1. Past service on the Youth Center Advisory Board: p6 years of Service: 2. Present participation in Youth Center activities by your children No if yes, please list the names of your children, their ages, and which programs. List below: 35 . Have you ever been convicted of a felony: No lf yes, please explain in detail: o Do you currently have a violation(s) of City of Miami Beach codes: No lf yes, please explain in detail: o Do you currently owe the City of Miami Beach any money:. No lf yes, please explain in detail: . Are you currently serving on any City Boards or Committees: No lf yes, which board? o What organizations in the City of Miami Beach do you currently hold membership in? Name Title o I am now employed by the city of Miami Beach: No Which department? o List all properties owned or have an interest in, which are located within the City of Miami Beach: Gender: Female The following information is voluntary and is neither part of your application nor has any bearing on your consideration for appointment. lt isbeing asked to comply with federa! equal opportunity reporting requirements. Race/Ethnic CategoriesWhat is your race? Mark one or more races to indicate what you consider yourself to be. none Other Description: Are you Spanish/Hispanic/ Latino? Mark the "No" box if not Spanish / Hispanic / Latino. Yes PhysicallyChallenged: No NOTE: lf appointed, you will be required to follow certain laws which apply to clty board/committee members.These laws include, but are not limited to, the following: o Prohibition from directly or indirectly lobbying city personnel (Miami Beach City Code section 2459).o Prohibition from contracting with the city (Miami-Dade County Code section 2-11.1).o Prohibition from lobbying before board/committee you have served on for period of one year after leaving ofiice (Miami Beach Code section 2-26).o Requirement to disclose certain financial interests and gifts (Miami-Dade County Code section 2-1 1 .1). (re: CMB Community Development Advisory Committee): prohibition, during tenure and for one year after leaving office, from having any interest in or receiving any benefit from Community Development Block Grant funds for either yourself, or those with whom you have business or immediate family ties (CFR 570.611). Upon request, copies of these laws may be obtained from the Clty Clerk. "l hereby attest to the accuracy and truthfulness of the applicatlon and have received, read and will abide by Chapter 2, ArticleVll - of the Clty Gode "Standards of Conduct for City Officers, Employees and Agency Membors." I Sara Velasquez agreed to the following terms on Received in the City Clerk's Office by: Name of Deputy Clerk Control No.Date 36 lMrch, 2013 To whom it may concern, I am sending my updated Curricutum Vitae - Resume, attached. I am a ticensed Architect (1991) Certified lnterior Designer & lnterior Architect (1998), and Ptanner (1999) with aMArch in Suburb &Town Design from the University of Miami, in Ftorida. I have worked extensivety as an Architect, and have over 10 years in Hospitatity Design & Architecture. I have vast experience in Hotel and Resort Design-from Conceptuat, Schematic, CD's and CA. My latest position Seinior Design Architect & Manager at an international firm in Miami, Ftorida responsible for but not limited to Conceptuat, Schematic and DD Packages, ctient presentations, coordination with att parties, budgeting, team leadership, and design direction among others. I have worked with internationatty renowned firms such as Hitt Gtazier Architects - now part of HKS (at their Pato Atto, CA location), SB Architects(with offices in San Francisco and Miami), and uttimatety OBM lnternationat, aMuttidisciplinary lnternationat Design firm specializing in Resort, Town Ptanning, and Hotel Design- at their Miami office. I woutd tike to have the opportunity to introduce myself. Ptease a[tow me to discuss my experiences and quatifications, at your earliest convenience. Fee[ free to contact me at any time at 786 223 4078. Best regards, SARA VEI-ASQUEZArchitect, Ptanner & Interior Designer 211 Water Way Miami Beach, FL 33141Cett 786 2234078 37 P Bp. E E.5.5t -o. NAL.EX.P ERl F..t{ g.E I ndependent Consu ltant ONE Architect, LLC. Juty 2009 to present. Conceptuatization, design and presentation of the architectural process of high-end resort projects and mixed-use developments from proposal through design devetopment. Coltaborate in master ptanning exercises and advise in conceptuatization of the architectural character of various projects. Devetop, Consult and supervise Conceptual, Schematic and Design Devetopment packages. Sketching, hand drawings, models and CAD drawings to communicate design solutions. Senior Designer/lrtanager OBM lnternational, Miami Ftorida May 2008-Juty 2009 Projects: Lambert Beach, BVI 5.Hote[, Spa & Conference Conceptual & Schematic 100% Dushanbe, Tajikistan S*Hote[ Component Conceptuatl 00 % Schematicl 00%.Tripoli, Lybia S*Hote[ Component Conceptuatl00 % Schematicl00%. AAarquis Estates, St.Lucia 5*Hote[ Component Conceptual40 % Desert Agafay, Marrakesh-Morroco S"Hote[ Component Conceptuatl00 % El Zafiro-La Tambora, Careyes itAexico 5.Hote[ and Vittas Component Conceptuatl00 % Fairmont ltAarrakesh, Morroco 5*Hote[ and Vittas Component Conceptuatl00 % Production, Coordination and Management of Conceptual and Schematic Design of High-end Hotets, Resorts and Spa components as part of Master Ptanning. Conceptual and Schematic Presentations to international ctients. Estabtish and monitor budget, project teams and cottaborate in preparation of schedules to ensure project compliance with contractual agreement with client. Maintain ongoing, positive and productive client retationships. Design Architect SB Architects, Miami Ftorida June 2004- May 2008 Projects: Tiger Woods Dubai, Jumeirah 7*Hotet, Spa & Conference Center Conceptual00%, Schematic 100% Gotf Academy Schematic & DD 100% Sam Lords Castle Barbuda, Condo-Buitdings -Conceptuat & Schematic 100% 38 Jolly Harbour Antigua, Condo Buildings, Town Homes-Conceptual 100% and Schematic 100Yo. Port O'Conner, Texas- Condo Buitdings -Conceptual & Schematic in progress. Pune Tree House, lndia-Conceptuat & Schematic 100%. Kingfisher Bay, Panama- Marina Vittage Conceptual, lndividual Houses 3 types, Conceptuat 100 % Palmyra Sylver & Sabal Buildings, Jamaica -Schematic 100 yo thru DD. Palmyra Spa, 5* HotelJamaica Schematic 1OO%thru DD Etevations, lnterior and Exterior thru DD. San Roque Club & Hotel, 5*Hote[ Spain-Conceptuat, Schematic 100%, partial DD. Production and Coordination of Conceptual Design, Schematic Design and Design Development of High-end Hotets, Resorts, Condominiums and Spas. Design Architect Hitt Gtaler Architects, Palo Atto, California October 1999 to December 2003 Projects: One & Only Palmilla, Los Cabos, Mexico- Schematic & DD Baywood Place, Residentiat Town Homes, Catifornia- DD & CA, Submittats Four Seasons Private Estates & Ctub, Arizona- Schematic & DD Mc Kinney Rough Resort, Texas- Schematic & DD Four Seasons Bittmore, Catifornia- Schematic & DD Ritz Carlton, Bachetor Gutch, Cotorado- DD & CD Montage Resort & Spa Residences, Catifornia- DD & CDRitz Carlton, Stone Canyon, Arizona- DD BACAM Resort & Spa, Catifornia- CD & CA Ritz Carlton, Hatf Moon Bay, Catifornia- CD Production and Coordination of Schematic Design, Design Devetopment, Construction Documents and Construction Administration. Project Architect Modutos & Construcciones, Bogot6, Colombia Project: Spa & Condominium Resort, 300 ptus Units August 1995 to September 1996 Directed the Design team on atl phases of devetopment: ptanning, conceptuat& schematic design presentation, design devetopment, and design documentation. Ctient retations and presentations. Coordination of consuttants;atl mechanica[ and structural systems for modutar concrete construction. Coordination with att consultants and permitting agencies. Master Ptanning concepts thru construction detaiting and finishes. 39 Partner Architect Arango, Velasquez & Atvarado Arquitectos, Bogot6, Cotombia September 1991 to March 1995. Projects inctude: Singte famity residences, Aerial Terminat, Warehouse & Office Design, Residentiat Buitding renovations. Production of conceptual and pretiminary drawings, design, presentations and ctient retations. Office Management and budgets, resources, code anatysis, submittats, construction documentation and detaits, finishes and sotutions. Coordination and cottaboration with other associates, consuttants and contractors. Intermediate Architect, Design Resident and Job Captain Pena Posada Architects, Bogot6, Colombia January 1993 to June 1994. Project: High End Residentiat Buitding. 5 Stories Coordination, management, contracting, schedutes and supervision of construction on site. Formal presentations for ctients, architectural review and board approvat. Ctient retations, specifications and finishes for the project atong with space ptanning and solutions on site. Junior Architect, Design Resident and Job Captain Campuzano, Londono and Associates, Bogot6, Colombia August 1991 to Jan 1993. Project: La Peninsula, High End Singte famity residence- estate home. Over 1 0,000 SF. Construction. Design Devetopment, detaiting, coordination of atl interior'and exterior finishes, carpentry, ftoor layouts, supervised contracting, kitchen design, special systems, etc. Supervision of att design procedures on site and in office. Internship Ospinas & Compania, Bogot6, Cotombia Project: Residential Condominium & Town Homes, 250 Units January 1991- August 1991 Coordinated atong with the lnterior Design department a study of atternative sotutions, design critiques, materials and finishes for oncoming phases of theproject on site. lndividual Projects: Cotombialnterior Design and Architecture singte famity residence, 1995 Singte famity Retreat, 1995 40 Singte famity Residence, 1995 Singte famity Retreat, 1995 EP..U..EAI!.AN PLANNER Master in Architecture, M ARCH University of Miami, Suburb and Town Design Coral Gabtes, Ftorida September 1998 to August 1999. Pitot Phase City of Botogna, ltaty Botogna Train Station, University Of Botogna - Urban Ptanning and Architectural Concept-May 1999 BAUHAUS KOLLEG, Urban Sprawl: City vs. Suburbia- The Post lndustrial City Dessau, Germany-November 1998, March 1999 INTERIOR DESIGNER & INTERIOR ARCHITECT Certificate in lnterior Design and lnterior Architecture University of Catifornia- Berketey Extension, San Francisco, Catifornia August 1996 to August 1998 ARCHITECT, License No. 25700 44853 CND Universidad de tos Andes, Bogot6, Cotombia September 1986 to August 1991 Professional Organizations : American lnstitute of Architects, AIA American Society of lnterior Designers, ASID Congress of New Urbanism, CNU .R.e..tEREN9..E$;. Doug Kutig, CEO OBM!, Miami, FL Liora Hayman, Managing Director OBM Miami, F[ Phone: 305 537 7100 Scott Lee, CEO Principat SB Architects, San Francisco, CA Phone: 305 856 2021 John Hitt, President Hitt Gtazier Studio, HKS Pato Atto, CA Phone: 650 617 0366 Doug Atmore, VP Principat, Hitt Gtazier Studio HKS Camilo Carritto, VP Principat, Hit[ Gtazier Studio HKS 41 42 David Castillo 43 THIS PAGE INTENTIONALLY LEFT BLANK 44 E MIAMIBEACH I{AME: Castlllo CITY OF MIAMIBEACH BOARD AND COMMITTEE APPLICATION FORM Davld Last Name First Name HOME ADDRESS: 1040 Biscayne Boulevard, #3308 Miami Middle lnitial 33132 Apt No. Home No./Street PHONE: 3052E39705 305573E110 City State Zip Code david@davidcastil !ogallery.com Email Address Business Name: Davld Cartlllo Gallerv Address: 420 Llncoln Road, #300 posi6on: afi gallery own.r Itliami Beach FL 33139 Street City State Zip Code Pursuant to Clty Code sectlon 2-22(41a and b: Members of agencies, boards, and committees shall be affiliated with the city; this requirement shall be fulfilled in the following ways: a) an individual shall have been a resident of the city for a minimum of six months; or b) an individual shall demonstrate ornership/interest for a minimum of six months in a business established in the city. o Resident of Miami Beach for a minimum of six (6) months No o Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: Yes o Are you a registered voter in Miami BEach: No o (Please circle one): I am now a resident of: South Boach o I am applying for an appointment because I have special abilities, knowledge and experience. Please list below: t am an art hlstorlan and art dealer wlth 22 yeara of experlence ln the art world lncludlng aB muaeum curator, muaeum reglstrar, o Are you presently a registered lobbyist with the City of Miami Beach? No Please list your preferences in order of ranking [1] first choice [2] second choice, and [3] third choice. Please note that only three (3) choices wlll be observed by the CltI' Glerk's Offlce. (Regular Boards of City) Choice 1: Art in Public Places Committee Choice 2: Ghoice 3: Note: lf applying for Youth Advisory Board, please indicate your affiliation with the Scott Rakow Youlh Center: 1. Past service on the Youth Center Advisory Board: 1o years of Service: 2. Present participation in Youth Center activities by your children No lf yes, please llst the names of your chlldren, their ages, and which programs. List below: o Have you ever been convicted of a felony: No lf yes, please explain in detail: o Do you currently have a violation(s) of City of Miami Beach codes: No lf yes, please explain in detail; o Do you currently owe the City of Miami Beach any money: No lf yes, please explain in detail: o Are you cunently serving on any City Boards or Committees: No lf yes, which board? o What organizations in the City of Miami Beach do you cunently hold membership in? r List all propefties owned or have an interest in, whicfr are located within the City of Miami Beach: o I am now employed by the city of Miami Beach: No Which department? 45 The lollowlng lnformatlon b voluntary and lc nelther part of your appllcatlon nor has any bearlng on your consideratlon for appolntment. lt lsbclng arkcd to comply wlth fedcral cqual opportunlty rcpoillng rcqulrcmcnte. Gender: ilale Race/Ethnic CategoriesWhat ls your race? Mark one or more races to indicate what you consider yourself to be. Other Other Description: Are you Spanish/Hispanid Latino? Mark the "No' box if not Spanish / Hispanic / Latino. Yee PhysicallyChallenged: No NOTE: lf appolnted, you wlll be requlred to follow certaln laws whlch apply to clty boardlcommlftee membenr.These laws lnclude, but aro not llmlted to, the followlng: o Prohibition ftorn directly or indirectly lobbying city personnel (Miami Beach City Code section 2-459).o Prohibition from contracling with the city (Miami-Dade County Code section 2-11.'l).o Prohibition ftom lobbying before board/committee you have served on for period of one year after leaving office (Miami Beach Code section 2-26).o Requirement to disclose certain financial interests and gits (MiamFDade County Code section 2-11,11. (re: CMB Community Development Advisory Committee): prohibition, during tenure and for one year after leaving office, from having any interest ln or recelving any beneflt from Communlty Development Block Grant funds for elther yourself, or those with whom you have business or immedhte family ties (CFR 570.611). Upon request, coples of these lawr may be obtalned from tho City Cled(. "l hereby attest to the accuracy and truthfulneu of the eppllcatlon and have recelved, road and wlll ablde by Ghapter 2, Artlcle Vll - of the Clty Code "Standards of Conduct for Clty Offlcers, Employees and Agancy tsmbec." ! Davld Castlllo agreed to the followlng terms on 1111712016 2:46:36 PM Received in the City Clerk's Office by: Name of Deputy Clerk Control No.Date 46 Gallery History David Castillo Gallery opened over a decade ago under sole ownership after transforming a dilapidated warehouse in Miarni, Florida into a 5,000 square foot gallery. [n September 2014, the gallery relocated to the historic Albert Anis 420Lincoln Road building in Miami Beach. David Castillo Gallery's focus is on conceptual curatorial models as they relate to art historical, cultural, and personal investigations of identity. The gallery works with artists committed to the integrity of their individual histories and studio practices as agents of contemporary climate. The gallery's represented artists have exhibited in prestigious venues such as the Metropolitan Museum of Art; Whitney Museum of American An NY; MoMA NY; MoMA/P.S. 1; Tate Modern, London; Hirschhorn Museum and Sculpture Garden D.C.; Kunstmuseum Lucerne, Switzerland; Philadelphia Museum of Art; Denver Art Museum; Indianapolis Museum of Art; Museum of Contemporary Art Chicago; Mass MoCA; MoCA Cleveland; San Francisco Museum of Modern Art; High Museum of Art Atlanta; Los Angeles County Museum of Art; Stedelijk Museum, Amsterdam; Kunsthalle Bern, Switzerland; ICA Boston; Albright-Knox Gallery, Buffalo; El Museo del Barrio NY; The Jewish Museum NY; Socrates Sculpture Park; Sculpture Center NY; ICA Philadelphia; New Museum NY; Bronx Museum; Brooklyn Museum; Creative Time NY; Pinchuk Art Centre Kiev; American Academy in Rome; Guggenheim NY, Venice, Bilbao & Berlin; White Columns; Art in General; Studio Museum in Harlem; Zacheta National Gallery of An Poland; Anists Space NY; The Menil Collection Houston; J Paul Getty Museum LA and many other museums nationally and internationally; as well as every major cultural institution in South Florida. David Castillo Gallery has participated in art fairs in New York, Los Angeles, Chicago, Berlin, Miami, and Basel, including Art Basel Miami Beach, The Armory Show, and Frieze New York. Gallery and artist reviews include publications such as The New York Times, Art in 47 America, Los Angeles Times, Modern Painters, The New Yorker, ARTnews, Sculpture Magazine, Art + Auction, The Wall Street Journal, The Art Newspaper, Interview Mag azine, Artforum, Financial Times, Time Magazine, The Washington Post, The Guardian, Village Voice, Newsweek, Flash Art, The Boston Globe, and San Francisco Chronicle among numerous others. The gallery exhibits important art historical material in the context of its program. Among the artists exhibited are Jean-Michel Basquiat, Louise Bourgeois, John Chamberlain, Jean Dubuffet, Marcel Duchamp, Wifredo Lam, Willem de Kooning, Morris Louis, Claes Oldenburg, Pablo Picasso, Sigmar Polke, Jesus Rafael Soto, Frank Stella, Rufino Tamayo, Cy Twombly, Andy Warhol, and many others. David Castillo holds degrees in History and Art History from Yale University and the Angelicum in Rome. Since 2000, he has dealt in important Latin American, European, and American secondary market works. Mr. Castillo has held positions at museums, including the Yale University Art Gallery. He continues to assist private clients in building their collections in addition to managing David Castillo Gallery and has lectured on various topics in art. 48 David Castillo 420Lincoln Road, Suite 300 Miami, Florida,33139 USA +1 305 283 97 05 david@davidcastillogallery. com P RO F ESS IONAL EXP ERI ENC E 2005- present David Castillo Gallery owner/director (Miami, Florida, USA) Operational management and sales of shows including local, national, and international emerging and mid-career artists. Participation in art fairs in Basel, Berlin, Miami, Chicago, New York, Los Angeles, including Art Basel Miami Beach, The Armory Show, Frieze New York, among others. Artists included in exhibitions at Whitney Museum of American Art; Socrates Sculpture Park; and Sculpture Center, all New York; Tate Liverpool, among numerous other institutions. Gallery and artist reviews in publications including Wall Street Journal, Time Magazine, The New York Times, ARTnews, Los Angeles Times, Sculpture Magazine, Art + Auction, Modern Painters, The Art Newspaper, among numerous others. In 2010, the Miami New Times voted David Castillo the "Best Art Dealer." TIME Magazine named David Castillo Gallery as one of the "10 things to do in24 hours" in Miami (2009). Also in 2009,David Castillo was named one of Florida's "Top 100 Power Players" by Florida International Magazine; as well as one of the" Top 23 under 40" who are influential in shaping South Florida's cultural landscape,Poder Magazine.In 2008, the Miami New Times voted David Castillo Gallery "Best Art Gallery". 2000- present Secondary Market private art dealer (Miami, Florida, usA) Consignments and sales of artists including Jean-Michel Basquiat, Morris Louis, Pablo Picasso, Frank Stella, Andy Warhol, Tom Wesselman, Frida Kahlo, Wifredo Lam, Roberto S. Matta, Jesus Rafael 49 Soto, Rufino Tamayo, Joaquin Torres-Garcia, Remedios Varo, among others. 1997-1999 Miami Art Museum registration (Miami, Florida, USA) As registrar, I worked on every aspect of exhibitions management, and oversaw a preparatory staff. These were the first years of the museum as a collecting institution and involved categorization of the collection from the basics, including the hiring of numerous contract staff for proper cataloguing, dealing directly with donors and lenders. 1996-1997 Yale University Art Gallery curatorial (New Haven, Connecticut, USA) In the American Decorative Arts Department, I was responsible for daily care and categorization of objects in the collection, including research on a dictionary of Colonial American Silversmiths, with the Chief Curator of the department. EDUCATION 1997 BA, History, Yale University, New Haven, Connecticut, USA 1996 Extraordinary Certificate, Art History, Church History, Angelicum University, Rome, ltaly 199 6 Independent study, Latin, Gregorian University, Rome, Italy LANGUAGES Fluent in English, Spanish, Italian Intermediate knowledge of French Beginner's knowledge of German LE CT U RE S / T ALKS I P AN E LS 50 Art Centeri South Florida, Miami Beach, Florida, USA Bass Museum of Art, Miami Beach, Florida, USA Christie's Auction House, New York, NY (Miami Beach, Florida, USA panel) Cranbrook Academy of Art, Bloomfield Hills, Michigan, USA Deering Estate at Cutler, Miami, Florida, USA Florida Gulf Coast University, Ft. Myers, Florida, USA Funding Arts Broward, Fort Lauderdale, Florida, USA Goldman Sachs, Miami, Florida, USA LegalArt, Miami, Florida, USA Locust Projects, Miami, Florida, USA Miami Art Museum, Miami, Florida, USA National Endowment for the Arts, Washington, D.C. (Miami, Florida, USA panel) National Museum of Fine Arts, Havana, Cuba New World School of the Arts, Miami, Florida, USA Perez Art Museum Miami, Miami, Florida, USA YoungArts Foundation, Miami, Florida, USA U.S. Trust, Miami, Florida, USA PRO F E SSI ON AL AF F ILIATI ON S Alumni Schools Committee (ASC), Yale College, New Haven, 51 Connecticut, USA Deering Estate at Cutler, co-founder artist residency, Miami, Floridq USA Knight Foundation advisory committee, Knight Arts Challenge, Miami, Florida, USA (3 years) 52 i#til[oerff 53 THIS PAGE INTENTIONALLY LEFT BLANK 54 Michael McManus 55 THIS PAGE INTENTIONALLY LEFT BLANK 56 ,,AiiA A^ i BilACi{ Last Name First Name-:Middle lnitial Home Address City Zip Code3.RA)<l Cellular T, Professional License (describe):Expires: Please list your preferences in order of ranking [1] first choice [2] second choice, and [3] third choice. Please note that onlv three (3) choices will be observed by the Office of the Citv Clerk. Page 1 of4 Fr\CLER\SALL\aFORMS\BOARD AND COMMITTEES\BC APPLICATION REVISE0 06142016.docr \ Please attach a copy of currently effective professional license. Pursuant to Gity Gode section 2-22(4la & b: Members of agencies, boards and committees shall be affiliated with the City. This requirement shall be fulfilled in the following ways: a. An individual shall have been a resident of the City for a minimum of six months; or b. An individual shall demonstrate ownership/interest for a minimum of six months in a business established in the City for a minimum of six months. o Resident of Miami Beach for a minimum of six (6) months: yes ffi or ruo E o Demonstrates ownership/interest in a business in Miami Beach for a minimum of six months. Ves E or ruo {o Are you a registered voter in Miami Beach: Ves S or No E o I am now a resident of: North Beach $ sortir Beach E mioat" Beach [}o I am Sppl se I have o Are you presently a registered lobbyist with the City of Miami Beach? Ves E or ruo E - Affordable Housing Advisory committee x Health Advisory Committee r Parks and Recreation Facilities Board 6 dArt in Public Places Committe€! Health Facilities Authoritv Board i Personnel Boardilludit Committee n Hisoanic Affairs Committee 3 Plannino Board't: Board of Adiustment'*E Historic Preservation Board*0 Police Citizens Relations Committee Budoet Advisorv Committee C Housino Authoritv D Production lndustrv Council C Committee on the Homeless E Human Riohts Committee D Sister Cities Prooram! Committee for Quality Education in MB E LGBT Advisory Committee tr Sustainabilitv Committae tr Convention Center Advisory Board i Marine & Waterfront Protection Authority E Transportation, Parking, & Bicycle-Pedestrian Faciliti6s Commitleei Cultural Arts Council Ii Miemi Beaeh Commission f6rWomen n Visitor and Convention Authoritv tr Design Review Boardft 0 Normandy Shores Local Government Neiohborhood lmorovement C Youth Commission i Disabilitv Access Comrnittee * Board members are required to file Form 1 - "statement of Financial lnterest" with the State.ft lf you seek appointment to a professional seat (e.9., lawyer, architect, etc.) on the Board of Adjustment, Oesign Review Board, Historic Preservation Board or Planning Board, attach a copy of your currently-effectively license, and furnish thefollowing information: Type of Professional License License lssuance Date License Number License Expiration Date 57 6 Note: lf applying for the Youth Center positions of the Parks and Recreations Facilities Board, please indicate your affiliation with the Scott Rakow Youth Center and/or the North Shore Parks Youth Center: o Please describe your past service with the City's Youth Centers (include dates of service): r Present participation in Youth Center activities by your children: yes E Uo E lf yes, please list below the names of your children, their ages and the programs in which they participale: o Have you ever been convicted of a felony? Yes lf yes, please explain in detail: o Do you currently have a violation(s) of City of Miami Beach Code? yes E or. *o* [yes, please explain in detail: o Do you currently owe the City of Miami Beach any money? Ves E "r. N.R lf yes, explain in detail: o Are you currently serving on any City Board or Commiftee? Ves E o, no $ lf yes, wtrich board/committee? organizat(on(s) in the City of Miami Beach do you the City of Miami Beach: o Are you now employed by the City of Miami Beach? yes E o, fVoE Which department and title? o Purcuant to City Code Section 2-25 (bl: Do you employed by the City of Miami Beach? Yes Eor No parent E, spouse E, "rriro E orother E or sister E who is lf 'Yes," identif,/ person(s) and department(s): The following information is voluntary and is neither part of your application nor has any bearing on your consideration forappointment. lt is being asked to comply with City diversity reporting requirements. Gender: Male U Female Race/Ethnic Categories What is your race? EI Rtrican-nmerican/BlackNf carcasianruhiteE nri.n or Pacific lslanderE rurtir"-nmerican/American Indian Page 2 ot 4 F:\CLER\6ALL\aFORMS\BOARO ANO COMMITTEES\BC APPLICATION REVISEO 06142016.docx 58 E Otn"r- Print Race: Do you consider yourself to be Spanish, Hlspanlc or Latlno/a? Mafu the "No" box if not Spanish, Hispanb, Latinola. ffi*"IJ v", conslder yourself Physlcally Dlsabled? NOTE: lF APPOINTED, YOU WLL BE REQUIRED TO FOLLOW CERTAIN LAWS THAT APPLY TO CITY BOARD/COMMITTEE MEMBERS. THESE LAWS INCLUDE, BUT ARE NOT LIMITED TO:o Prohibition from directly or indirectly lobbying Cig personnel (Miami Beach City Code section 2-459).o Prohibition from contracting with the City (Miami-Dade County Code seclion 2-11.1).o Prohibition from lobbying before the board/committee you have served on for period of one year after leaving office (Miami Beach City Code section 2-26).o Requirement to disclose certain financial interests and gifts (Miami-Dade Coung Code section 2-11.1).o CMB Community Development Advisory Committee: prohibition, during tenure and for one year after leaving office, from having any interest in or receiving any benefit from Community Development Block Grant funds for either yourself, or those with whom you have business or immediate family ties (CFR 570.61 1).o Sunshine Law - Florida's Government-in-the-Sunshine Law was enacled in 1967. Today, the Sunshine Law regarding opengovemmenl can be found in Chapter 286 of the Florida Statutes. These statutes establish a basic right of access to mosl meetings of boards, commissions and other governing bodies of state and local governmental agencies or authorities.o Voting conflict - Forn 88 is for use by any person serving at the county, city or other local level of government on an appointed or elecled board, council, commission, authority or committee. lt applies equally to members of advisory and non-advisory bodies who are presented with a voting conflict of interest under Seclion 112.3143, Florida Statutes. Upon request, copies of these laws may be obtained from the City Clerk. I HEREBY ATTEST TO THE ACCURACY AND TRUTHFULNESS OF THE APPLICATION; AND I HAVE RECEIVEO, READ AND WILL ABIDE BY CHAPTER 2, ARTICLE VII, OF THE MIAMI BEACH CITY CODE, ENTITLED "STANDARDS OF CONDUCT FOR CITY OFFICERS, EMPLOYEES AND AGENCY MEMBERS AND ALL OTHER APPLICABLE COUNTY AND/OR STATE LAWS AND STATUTES ACCORDINGLY.'' t\ Slgnature Name of Applicant (PLEASE Do you H*"fJ v" {(ll*, Received in the office of the city crerk by: O#*tr#"r^--{t' t *J* U-*|;-: lt' t lrful t", ' ATTACH A CURRENT RESUME, PHOTOGRAPH AND A GOPY OF ANY APPLIGABLE PROFESSIONAL LIGENSE. ATTACH ADDITIONAL SHEETS, IF NEGESSARY, TO PROVIDE REQUIRED INFORMATION. Page 3 of 4 F:\CLER\0ALL\aFORMS\BOARD AND COMMITTEES\BC APPLICATION REVISED 0€142016.docx 59 MICHAELMCMANUS 3tl4 Meridian Ave. ll4A Miami Beach, FL 33139 305 531 s089 m32!O@bellsouth.net BA John Carroll University (Jesuit) MA New York University Cinema v6rit€ documentary filmmaker: CBS Specials Bill Moyers Journal 20120 Dlrector of Exhibitlons Museum of American Folk Art: Administration Curatorial Writer Florida Humanities Council Speakers Bureau Adjunct ProfessorArt Department: University of Miami Florlda lnternational University Two terms Miami Beach CulturalArts Council Published: Knopf Viking Yale University Press Condominium owner 60 Maria E. Ortiz 61 THIS PAGE INTENTIONALLY LEFT BLANK 62 E MIAMIBEACH NAME: Ortlz CITY OF MIAMIBEACH BOARD AND COMMITTEE APPLICATION FORM Marla Last Name First Name HOIIIE ADDRESS: {401 Euclid Ave. Apt 301 MIAMI BEACH Middle lnitial Florida 33139 Apt No. Home No./Street City PHONE: 7E75501886 7E6341t561E State Zip Code mortlz@pamm.org Home Business Name: Percz Art ilureum Mlaml Address: ll03 Biccayne Blvd position: arioclate curator Wo*Email Address Miami Florida 33r32 Street State Zip Code Pursuant to Clty Code sectlon 2-22(41a and b: Members of agencies, boards, and committees shall be affiliated with the city; this requirement shall be fulfilled in the following ways; a) an individual shall have been a resident of the city for a minimum of six months; or b) an individual shall demonstrate oamership/interest for a minimum of six months in a business established in the city. o Resident of Miami Beach for a minimum of six (6) months Yes o Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: Yes o Are you a rcgistered voter in Miami Beach: Yes o (Please circle one): I am now a resident of: South Beach o I am applying for an appointment because I have special abilities, knowledge and experience. Please list below: extenslve knowledge on contemporary art locally, natlonally, and lnternatlonally o Are you presently a registered lobbyist with the City of Miami Beach? No Please list your preferences in order of ranking [1] first choice [2] second choice, and [3] third choice. Please note that only thrce (3] choices wlll be observed by the Glty Clerk's Offlce. (Regular Boards of City) Choice 1: Art in Public Places Committee Choice 2: Ghoice 3: * Board members are required to fite Form 1 - "statemsnt of Financlal Interest" with the State. lf you seek appointment to a professional seat (e.9., lawyer, architcct, etc.) on the Board of Adjurtment, Derign ReviewBoard, Historic Preservation Board or Planning Board, attach a copy of your currently-effectively license, and furnish ihefollowlng Informatlon: Type of Professional License License Number License Expiration DateLicense lssuance Date Note: lf applyinq for Youth Advisory Board, please indicate your affiliation with the Scott Rakow Youth Center: 1. Past service on the Youth Center Advisory Board: go years of Service: 2. Present participation in Youth Center activities by your children No if yes, please list the names of your children, their ages, and which programs. List below: City 63 . Have you ever been convicted of a felony: No lf yes, please explain in detail: r Do you currently have a violation(s) of City of Miami Beach codes: No lf yes, please explain in detail: o Do you currently owe the Gity of Miami Beach any money: No lf yes, please explain in detail: . Are you cunently serving on any City Boards or Committees: No lf yes, which board? o What organizations in the City of Miami Beach do you cunently hold membership in? Name Title Crunch Gym Member o I am now employed by the city of Miami Beach: No Which department? o List all properties owned or have an interest in, which are located within the City of Miami Beach: Gender: Female The following information is voluntary and ls neither pail of your appllcatlon nor has any bearing on your conslderatlon for appointment. lt isbelng asked to comply wl$ fedenl equal opportunlty reportlng requlrementt, Race/Ethnic CategoriesWhat ls your race? Mark one or more races lo indicate what you consider yourself to be. African.American/Black Other Description: Are you Spanish/Hispanic/ Latino? Mark the "No" box if not Spanish / Hispanic / Latino. Yes PhysicallyChallenged: No NOTE: If appointed, you wlll be requlred to follow certaln laws whlch apply to city board/commlftee membene.These Iaws lnclude, but are not llmlted lo, the followlng: o Prohibition frorn directly or indirectly lobbying city personnel (Miami Beach City Code section 2-459).o Prohibition from contracling with the city (Miaml-Dade County Code sectlon 2-11.1).o Prohibition from lobbying before board/committee you have served on for period of one year after leaving ofiice (Miami Beach Code section 2-26).o Requirement to disclose certain financial inlerests and gifts (Miami-Dade County Code section 2-1 1.1). (re: CMB Community Development Advisory Committee): prohibition, during tenure and for one year after leaving office,from having any interest in or receiving any beneflt from Community Oevelopment Block Grant funds for either yoursell or those with whom you have business or immediate family ties (CFR 570.611 ). Upon request, copies of these lawr may be ob,talned from the Clty Clerk. "l heroby attest to the accuracy and truthfulnoss of tho appllcatlon 8nd have recoived, rcad and wlll ablde by Chapter 2, AltlcloVll - of the Clty Code "Standards of Conduct for Cltyr Offlcera, Employeee and Agency Membel:." I Maria Ortiz agreed to the following terms on Received in the City Clerk's Ofiice by: Name of Deputy Clerk Control No.Date 64 Ortiz Maria Elena Ortiz t4ot Euclid Ave. Apt.3ot MiamiBeach, FL3j1)9 787.55o.t886/ mortiz@pamm.org EDUCATION Master of Arts in Curatorial Practice, California College of the Arts, San Francisco, CA, zoto. Thesis: "Cannibats and Biennials: the 5th Havana Bienniat" Bachelor of Arts and Science in Cultural Anthropology with Minor in Art History, University of Houston, zoo6 . Honors Graduate Banner Bearer, Highest GPA in the department PROFESSIONAL EXPERIENCE Associate Curator, Pdrez Art Museum MiamiJuly zot3 - Present .Conceive, develop and execute exhibitions and catalogs by artists such as Ulla von Brandenburg, Carlos Motta, Beatriz Santiago Munoz, among others .Work collaboratively with a team of curators and private collectors to secure acquisitions and donations of works to the museum. Develop educations strategies for our museum visitors, as well as online audience . Work with departments to develop the strategic plan of the museum. Develop the bilingual identity of the museum .Work with local and international artists to develop programming and exhibitions .Research and travel for the museum to search for important artists and works to bring to the museum Curator of Contemporary Arts, Sala de Arte P(blico Siqueiros, Mexico City April zott - July 2O13 .Worked closely with the museum's director to develop a cutting-edge curatorial program with artists such as Tania Bruguera, Tercerunquinto, Cinthia Marcelle, Joaquin Segura, and Wilfredo Prieto. Developed educational programs as well as a collecting strategy for the museum.Developed bilingual strategy for the museum Curatoria! Assistant, Museum of Craft and Folk Art, San Francisco July zoog - July 2010 . Worked on a series of exhibitions as wellas created programming FELLOWSH|PS, GRANTS, AND OTHER NOTABLE POSTS Fellow, New Museum's ldeasCities with LUMA Foundation, Arles, France, May zotT Delegate, Tilting Axis.3 Curating the Caribbean, National Gallery of the Cayman lslands, April zotT 65 2 Critic, Festival lnternational ART Performance FIAP, Martinique, April zol7 Juror, South Florida CulturalConsortium, MiamiDade County, January 2016114115 Awarded, Colecci6n Patricia Phelps de Cisneros and lndependent Curators lnternational Travel Grant to the Caribbean and Latin America, New York, May zor4 Finalist, Emerging Curator, Palais de Tokyo, Paris, France, November 2012 SELECTED EXHIBITIONS Curator, WilliamCordova: Now's theTime, Pdrez Art Museum Miami, Aprilzor8 Exhibition Catalogue (available Spring zorS) Curator, Spots, Tiles, Pips, andTiles: An exhibition about dominoes, P6rez Art Museum Miami Curator, South Florida Cultural Consortium, Museum of Contemporary Art, North Miami, June zotT Curator, Project Gallery: Ulla Von Brandenburg, P 6rezArt Museum Miami Curator, Spots, Tiles, Pips, andTiles: An exhibition about dominoes, Hunter East Harlem Galleries, Hunter College, New York Curator, Proiect Gall ery : Carlos Motta, P €rez Art M useum M iami Curator, Beatriz Santiago Mufioz: AUniverse of Fragile Mirrors, El Museo del Barrio, New York Exhibition Catalogue Curator, Beatriz Santiago Muftoz: AUniverse of Fragile Mirrors, P6rez Art Museum Miami. Exhibition Catalogue Available Curator, Video lslonds, Film Anthology Archive, New York Curator, Firelei Bdez: Bloodlines,Pdrez Art Museum Miami, Exhibition Catalogue Curator, Firelei Bdez: Bloodlines, Warhol Art Museum, Pittsburgh, Exhibition Catalogue Curator, Firelei Bdez:Vessel of Geneologies, DePaul Art Museum, Chicago Curator, Firelei Bdez:Vessel of Geneologies, Tarble Arts Center, Charleston, lllinois Curator, Emilio Chapela: Rdquiem, Sala de Arte P(blico Siqueiros, Mexico City Curator, Nuria Montiel:;\acrtdete!, Sala de Arte P(blico Siqueiros, Mexico City 66 Ortiz Curator, Carlos Motta: La forma de la libertad, Sala de Arte Pfiblico Siqueiros, Mexico City Curator, Bayrol Jimdnez: Dromamdn, Sala de Arte P(blico Siqueiros, Mexico City Curator, Josd Luis Rojas: La apariencia del control, Sala de Arte Ptblico Siqueiros, Mexico City Curator, Rita Ponce de Le6n: Ddvid, Sala de Arte P(blico Siqueiros, Mexico City Curator, Wherever You Roam, Museum of Latin American Art, Los Angeles SELECTED PUBLICATIONS Author and Editor, "William Cordova: Now's the Tome," P6rez Art Museum Miami, (upcoming zotS) Authorr "Proiect Gallery: Steve McQueen," PdrezArt Museum Miami(upcoming zotT) Author, "Prospect Biennial 4," Prospect New Orleans, (upcoming zotT) Author, "A Conversation with Amanda Sanfilippo about the South Florida Cultural Consortium," Museum of Contemporary Art, North Miami Author, "Project Gallery: Ulla von Brandenburgf' Pdrez Art Museum Miami Author, "Proiect Gallery: Carlos Motta," P6rezArt Museum Miami Author, "Proiect Gallery: Robert Rauschenberg," PdrezArt Museum Miami Author and Editor, "Beatriz Santiago Muftoz: A Universe of Fragile Mirrors," Pdrez Art Museum Miami Author and Editor, "Firelei B;iez: Bloodlines," PdrezArt Museum Miami Publication Manager, "Eugenio Espinoza: Unruly Supports," P€rez Art Museum Miami Auth or, Expl oring the Antill e an S ubject, Terremoto M a ga z in e Author, The Bahamas, lndependent Curators lnternational Blog Author, Exploring T rinidod, I ndepend ent Curators I nternationa I Blog Author, On Martinique, lndependent Curators lntemational Blog Author, Travels in Aruba,lndependent Curators lnternational Blog Author, Rodolfo Perdza, Artist's Publication, Miami Author, Nebraska, Americana, Wattis lnstitute of Contemporary Arts, San Francisco 67 4 Author, Huevos Revueltos with Melanie Smith and Rofoel Ortega, Memorias SAPS zorr-zorz, Mexico City Author, LosTallereswithTercerunquinto, Memorias SAPS 2or1-2otz, Mexico City SYMPOSIUMS AND LECTURES Presenter, "Collections and lnstitutions," Expo Chicago (upcoming zotT) Presenter, "Art + Hack + Data," PdrezArt Museum Miami (upcoming zotT) Presenter, "On Dominoesr" Pdrez Art Museum Miami Presenter, "Maria Elena Ortiz in Conversation with Firelei BAez," DePaulArt Museum, Chicago Presenter, "Marfa Elena Ortiz in Conversation with Fire]ei BAez," Tarble Arts Center, Charleston, lllinois Presenter, "Maria Elena Ortiz in Conversation with William Cordova and Franklin Sirmans," PdrezArt Museum Miami Presenter, Chicago Cultural Arts Center Presenter, "Maria Elena Ortiz in Conversation with Firelei BAez," Gallery Wendi Norris, San Francisco Presenter, Marfa Elena Ortiz in Conversation with William Cordova and Luis Gispert, Freedom Tower MDC Museum of Art + Design, Miami Presenter, Maria Elena Ortiz in Conversation with Firelei BAez,PdrezArt Museum Miami Lecturer, "Revisiting the Caribbean and Latin America: Contemporary Conversations on Visual Arts," Florida Atlantic University, Boca Raton Lecturer, Roundtables: Mar[d Elena Ortiz, Locust Projects, Miami Presenter, Arts for Learning Miami, The Light Box at Goldman Warehouse Presenter, "Video lslands," January zot5, Anthology Film Archive, New York Moderator, "DualArtist Economies: Managing Art of Two Careers as a Professional Arts and Arts Administrator," NationalAssociation of Latino Arts and Cultures, Miami Presenter, "Recent Curatorial Projects," Atelier 89, June zor4, Oranjestad, Aruba Presenter, "Curating Video and Performance," Alice Yard, Port of Spain, Trinidad Presenter, "Maria Elena Ortiz in Conversation with Miguel Rodriguez Sep0lveda," Locust Proiects, Miami 68 Ortiz Moderator, "Caribbean Crossroads of the World Symposium: Transnational Histories," Pdrez Art Museum Miami Presenter, "Cannibals and Biennialsr" California College of the Arts, San Francisco SKIL|sSET Proficlent in Microsoft Office Suite, Adobe lllustrator and Photoshop, CMS Database, Retail Pro 6, eTapestry Online Database, and both Mac and PC platforms Social Media GrantWriting Bilingual in English and Spanish, conversationa! French Detail oriented; motivated; great public speaker; salsa and merengue dancing 69 70 Alpesh K. Patel 71 THIS PAGE INTENTIONALLY LEFT BLANK 72 E MIAMI BEACH NAME: Patel CITY OF MIAMI BEACH BOARD AND COMMITTEE APPLICATION FORM Alpesh Last Name First Name HOME ADDRESS: 2665 SW 37th Avenue Unit 50,t Miami Middle lnitial FL 33133 Apt No. Home No./Street PHONE: 7865318433 City State Zip Code alpeshkantlpatel@gmail.corn Home Business Name: Miami Beach Urban Studlor Address: 420 Lincoln Road Email Address position: 4rllstant ?ry-ie6lor/Dlrector of MFA program Miami Florida 33139 City State Zip Code Pursuantto City Code sectlon 2-22(41a and b: Members of agencies, boards, and committees shall be affiliated with the city; this requirement shall be fulfilled in the following ways: a) an individual shall have been a resident of the city for a minimum of sixmonths; or b) an individual shall demonstrate ownership/interest for a minimum of six months in a business established in tha city. o Resident of Miami Beach for a minimum of six (6) months No o Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: Yes o Are you a registered voter in Miami Beach: No o (Please qfgp one): I am now a resident of: o I am applying for an appointment because I have special abilities, knowledge and experience. Please list below: contemporary art scholar o Are you presently a registered lobbyist with the City of Miami Beach? No Please list your preferences in order of ranking [1] first choice [2] second choice, and [3] third choice. Please note that only thrce (3) choices wlll be observed by the GlOt Glerk's Offlce. (Regular Boards of City) Choice 1: Art in Public Places Committee Choice 2: Choice 3: * Board members are required to ffle Form 1 - "statement of Financial Interest" with the State. lf you ceek appointment to a profescional seat (e.9., lawyer, archilect, etc.) on the Board of Adjustment, Deaign ReviewBoard, Hlstorlc Preservation Board or Planning Board, attach a copy of your currently-effectively license, and furnlsh thefollowlng lnformatlon: Type of Professional License. License lssuance Date License Number License Expiration Date Note: lf applying for Youth Advisory Board, please indicate your affiliation with the Scott Rakow Youth Center: 1. Past service on the Youth Center Advisory Board: po years of Service: 2. Present participation in Youth Center activities by your children No if yes, please list the names of your children, their ages, and which programs. List below: 73 . Have you ever been convicted of a felony: No lf yes, please explain in detail: o Do you currently have a violation(s) of City of Miami Beach codes: No lf yes, please explain in detail: o Do you currently owe the City of Miami Beach any money: No lf yes, please explain in detail: . Are you cunently serving on any City Boards or Committees: No lf yes, which board? o What organizations in the City of Miami Beach do you currently hold membership in? o I am now employed by the city of Miami Beach: No Which department? o List all properties owned or have an interest in, whicfr are located within the City of Miami Beach: Gender: Male The followlng lnformation ls voluntary and is neither peil of your appllcatlon nor has any bearing on your conslderation for appointment. lt is being aeked to comply wlth federal equa! opportunity reporting requlrements, Race/Ethnic CategoriesWhat ls your race? Mark one or more races to indicate what you consider yourself to be. Asian or Pacific lslander Other Description: Are you Spanish/Hispanid Latino? Mark the "No" box if not Spanish / Hispanic / Latino. No PhysicallyChallenged: No NOTE: lf appolnted, you wlll be requlred to follow certaln lawt whlch epply to clty board/commlttee memberr. Thcae laws lnclude, but aro not llmlted lo, the followlng: o Prohibition from directly or indirectly lobbying city personnel (Miami Beach City Code section 2-459).o Prohlbltion ftom contracting with the city (Miami-Dade County Code sectlon 2-11.11.o Prohibition frorn lobbying before board/committe€ you hav€ served on for period of one year after leaving ofiice (Miami Beach Code section 2-26).o Requirement to disclose certain financial interests and gifis (Miami-Dade County Code section 2-1 1 .1), (re: CMB Community Development Advisory Committee): prohibition, during tenure and for one year after leaving office, from having any interest in or receiving any benefit from Community Development Block Grant funds for either yourself, or those with whom you have business or immediate family ties (CFR 570.611 ). Upon request, coples of these laws may be obtalned from tho Clty Clerk. "l heroby attest to the accuracy and truthfulnes! of the applicatlon and have recelved, road and wlll abide by Chapter 2, AfilclsVll - of the CIty Gode "Standards of Conduct for Clty Offlcers, Employees and Agency Members." I Alpesh Patel agreed to the following terms on 11U2017 12:21:29 AM Received in the City Clerk's Ofhce by: Name of Deputy Clerk Control No.Date 74 Alpesn lGruruu PnrelCuaatcutuuVnee Telephone: 1-786-531-8433 . Email: alpesh.patel@fiu.edu AcADEilrc PostrtoNs Aug 201 1-present Mnm Beacx Unslx Sruotos, FlU, Miami Beach, Asst. Professor, Contemporary Art & Theory Jul 2012-present Mnm Beecx Unalr Sruotos, FlU, Miami Beach, Director, Master in Fine Art in Visual Arts Sep 20'1O-May 2011 NEwYoRK Urvensrv, New York City Visiting Scholar, Center for Study of Gender and SexualityEoucalou Apr 2009 UilmRsny oF MAilcHEsrER, England PhD, Art History and Visual Studies MPhil, Drama/Screen studies (upgraded to PhD in 2006) Sep 1997 Ynle Urvensrw, New Haven, Connecticut BA in History of Art with distinction in major Anrs AotutusrRATrol{ Jan 2002-Jul 2005 New lrlusrurrr oF CoirEilpoRAnv Anr, New York City Executive Assistant to Lisa Phillips, director Dec 1998-Aug 2000 Wxnrev llluseun or Amenrclx Anr, New York City Project-based Curatorial and Research Assistant Curator Summer 1998 SoLoi,tox R. Guceexxelu Museuu, New York City Curatorial lntem HoNons, GRANTS, AND OrHER AwARDS2016 Cranbrook Academy of Art, Bloomfield Hills, Michigan, Critical Studies Fellow 201$.1 6 Fulbrlght Foundatlon, Fulbright Fellowship, for research on contemporary art in Eastern Europe2012 Nailonal Endowment of Humanltles (NEH), Summer lnstitute Scholar2008 Gollege Art Aeaociation (CAA), Professional Development Fel/owshrp finalist DocromlAmnos U niversitlr of ilanchester, England200S8 School of Arts, Histories and Cultures200&8 Art History and Visual Studies 200G8 Art Gallery and Museum Studies UxoenonnouATE AwARDS Yale Univerelty, New Haven, Connecticut't99$7 Wemer F. Gosse/s Scholarship1996 Richter Summer Fellowship1995 Mellon Undergraduate Research Grant Seucreo lrvreo LEcruREs2016 Centre de Cultura Contemporinia de Barcolona, Spain.2015 Adam illlcklewlcz Unlveralty, Poznah, Poland.2014 School of Ail lnstitute of Ghicago, lllinois.2013 New York University, New York City, New York.2O1O Univercily of cambrldge, England.2009 Unlverslty of Oxford, England. 75 76 Brian D. Harris 77 THIS PAGE INTENTIONALLY LEFT BLANK 78 E MIAMIBEACH NAME: Harris CITY OF MIAMIBEACH BOARD AND COMMITTEE APPLICATION FORM Last Name First Name HOME ADDRESS: 1000 South Beach Drive #1002 Miami Beach Middle lnitial FL 33139 Apt No. Home No./Street City PHONE: 517-225-2UG 786-238-7221 NA State Zip Code brian@bdharris.com Home Business Name: NA Address: 1000 South Pointe Drive #{002 Fax Email Address position: consultant/wrlter Miami Beach FL Work 33139 Street City State Zip Code Punsuant to Gity Code section 2-22(11a and b: Members of agencies, boards, and committees shall be affiliated with the city; this requirement shall be fulfilled in the following ways: a) an individual shall have been a resident of the city for a minimum of six months; or b) an individual shall demonstrate ownership/interest for a minimum of six months in a business established in the city. o Resident of Miami Beach for a minimum of six (6) months Yes o Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: No o Are you a registered voter in Miami Beach: Yes o (Please circle one): I am now a resident of South Beach e I am applying for an appointment because I have special abilities, knowledge and experience. Please list below: flnanclal analysls, accounting, penslon analysls o Are you presently a registered lobbyist with the City of Miami Beach? No Please list your preferences in order of ranking [1] first droice [2] second choice, and [3] third choice. Please note that only three (3] choices will be observed by the City Clerk's Office. (Regular Boards of City) Ghoice 1: Budget Aclvisory Committee Choice 2: Choice 3: Note: lf applying for Youth Advisory Board, please indicate your affiliation with the Scott Rakow Youth Center: 1. Past service on the Youth Center Advisory Board: po years of Service: 2. Present participation in Youth Center activities by your children No if yes, please list the names of your children, their ages, and which programs. List below: r Have you ever been convicted of a felony: No lf yes, please explain in detail: o Do you cunently have a violation(s) of City of Miami Beach codes: No lf yes, please explain in detail: . Do you cunently owe the City of Money Beach any money: No lf yes, please explain in detail: o Are you cunenfly serving on any City Boards or Committees: No lf yes, which board? o What organizations in the City of Miami Beach do you cunently hold membership in? o List all properties owned or have an interest in, which are located within the City of Miami Beach: . I am now emplo)red by the city of Miami Beach: No Which department? 79 The followlng Inlormadon li voluntary and 13 nelther pan o, your appllcatlon nor has any beadng on your conslderatlon ior appolntment. lt Isbelng arked lo complyr wlth federal equal opportunlty Fpordng requlrDment3, Gender: Female Race/Ehnic CategoriesWhat is your race? Mark one or more raoes lo indicate what you oonsider yourself to be. none Other Description: Are you Spanish/Hispanid Latino? Mark the "No" box if not Spanish / Hispanic / Latino. No PhysicallyChallenged: No NOTE: lf appolnted, you wlll be requlred to follow certaln laws whlch apply to clty boardlcommltt€o memberc.These lawe include, but are not llmlted to, the followlng: o Prohibition from directly or indirecfly lobbying city personnel (Miami Beach City Code section 2459).o Prohibition tom contraclirB with the city (Miami-Dade County Code section 2-11.1).o Prohibition tom lobbying before boardcommitbe you have served on for period of one year after leaving offce (Miami Beach Code section 2-26).o Requirement to dbdose certain financial inlerestB and gifts (Miami-Dade County Code section 2-11.11. (re: CMB Communig Development Advisory Commitee): prohibition, during tenure and lor one year after leaving office, ftorn havlng any interest ln or reelvlng any beneft fiom Community Devebpment Elock Grant funds for elther yoursdf, or those with whom you have business or immediate family ties (CFR 570.611 ). Upon request copies of these laws may be obtalned tom the Clty Chrk. "l hereby attest to the accuracy and truthfulness of the appllcatlon and have recelved, read and wlll ablde by Chapter 2, Artlcle Vll - of the Clty Code "Standards of Conduc't for Glty Offlcers, Employees and Agency l/bmberg." I Brlan Harrls agreed to the followlng terms on 1il171201310:28:50 At Received in the Clty Clerk's Ofiice by: Name of Deputy Clerk Control No.Date 80 Bnm Hnnrus 1000 S. Pointe 0r. f1002 Itliami Beach, FL 33139 C: (917)22s2uo H: (786)23/!-7224 brian@bdhanis.com EXPERIENCE 2007-cunent TPG Pailnen V, L.P. New York, NY Cqsultart, Nrlines and Freqrcnt Flyer Prograns 1998-2003 CitigrouplSdomon Smith Brrney New York, NY Managing Dhector, Airline Equity Analysto lnstitutional lnveator All-America Research Second Team 1998-2002.o Covered 19 major, nationaland regionalairlirrc stocks.o Lead analyst on ExpressJet lPO, largeet airline equily offering in U.S. history.o Won SSB 'Call of the Month' for upgrade of airline sector following 9/1 1 .o Notable research reports include SSB Hub Factbook, SSB Fleet Handbook, Stage-Length Adjusted Yield Report, Airline Frequent Flyer Programs Valued As Hidden Assets. 1996-1998 Lehman Brcthers New York, NY Senior Vice President, Aitine Equity Analysto lnstitutional lnvestorAlFAmerica Research Second Team 1997, Best Up-And-Comer 1996.o Covered 12 major and national airline stocks.o Upgrade of Southwest Ahlines included in Lehman Bmtherc Top Ten ldeas for 1998. 1994-1996 S.G. Warburg New York, NY Vtce President, Aidine Equity Analysto Covered 8 major and natbnal airline stockg.o lnltiated coverage witr buy rating on Conlinental Airlines near bottom, became best performing sbok NYSE for 1995.o Reoeived highest rating among equity analpb by U.S. lnstitutional Sales Force. 1990-1994 American Airliner Dallas, TX Senior Analyst, FinmcialAnalysis aN Muketing Planningo Expertise in Frequent Flyer Programs, Relinee Medical Benefits and Airline Competitive Analysis. EDUCATION 1990 University of Chicago Chicago, llfinois MBA, Finance (Beta Gamma Sigma) 1984 Prinoeton University Princeton, NJ A. 8., Economics (Honors) BOARD OF DIRECTORS 2003-2010 ShermansTravel Media, LLC New York, NY OTHER SKILLS'INTERESTS Proficient in Spanish. Wriling: Ial/ Grass (Off-Broadway prcduction six-week limibd run March- April2007 and Ft. Lauderdale Jan 24-Feb 17,2ffi8),; The Mmster Projecl (Ft. Lauderdale Sept 26- Oct 20, 2013); Published in Samuol French (2008). Twotime winner of Stnawberry One-Act Feetival (2007, 2005). Winner Jean Dalrymple Award Best Comedy Playwright (2005). Co-Auihor Lay Low and Don't Make ffie Big Mistake (Simon and Schusbr, 1997); Texm-Hold'em Poker. 81 &82 F. Michael Steffens 83 THIS PAGE INTENTIONALLY LEFT BLANK 84 g MIAMIBEACH NAME: Steffens CITY OF MIAMI BEACH BOARD AND COMMITTEE APPLICATION FORM Francis Last Name HOME ADDRESS: 822 Jeronimo Drive First Name Coral Gables Florida Middle lnitial Apt No. Home No./Street PHONE: (305) 608-5952 (30514444942 City State Zip Code m i ke@nevillesteffens.com Work Email Address Business Name: F. Michael Steffens PA Address: 316 Miracle Mile position: ArchitecUlnterior Design Coral Gables Florida 33134- Street State Zip Code Pursuant to Gity Code section 2-22(41a and b: Members of agencies, boards, and committees shall be affiliated with the city; this requirement shall be fulfilled in the following ways: a) an individual shall have been a resident of the city for a minimum of six months; or b) an individual shall demonstrate ownership/interest for a minimum of six months in a business established in the city. o Resident of Miami Beach for a minimum of six (6) months No o Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: No o Are you a registered voter in Miami Beach: No o (Please circle one): I am now a resident of: o I am applying for an appointment because I have special abilities, knowledge and experience. Please list below: Master of Architecture- Bachelor of Design in Architecture o Are you presently a registered lobbyist with the City of Miami Beach? No Please list your preferences in order of ranking [1] first choice [2] second choice, and [3] third choice. Please note that onlv three (3)choices will be observed by the City Clerk's Office. (Regular Boards of City) Choice 1: Design Review Board Choice 2: Planning Board Choice 3: Historic Preservation Board * Board members are required to file Form I - "statement of Financial lnterest" with the State. lf you seek appointment to a professional seat (e.9., lawyer, architect, etc.) on the Board of Adjustment, Design ReviewBoard, Historic Preservation Board or Planning Board, attach a copy of your currently-effectively license, and furnish thefollowing information: Type of Professional License License Number License Expiration DateLicense lssuance Date Note: lf applying for Youth Advisory Board, please indicate your affiliation with the Scott Rakow Youth Center: 1. Past service on the Youth Center Advisory Board: po years of Service: 2. Present participation in Youth Center activities by your children No if yes, please list the names of your children, their ages, and which programs. List below: City Child Name Age Program 85 . Have you ever been convicted of a felony: No lf yes, please explain in detail: . Do you currently have a violation(s) of City of Miami Beach codes: No lf yes, please explain in detail: . Do you currently owe the City of Miami Beach any money: No lf yes, please explain in detail: o Are you currently serving on any City Boards or Committees: Yes Design Review Board lf yes, which board? o What organizations in the City of Miami Beach do you currently hold membership in? o I am now employed by the city of Miami Beach: No Which department? o List all properties owned or have an interest in, which are located within the City of Miami Beach: Gender: Male The following information is voluntary and is neither part of your application nor has any bearing on your consideration for appointment. !t isbeing asked to comply with federal equal opportunity reporting requirements. Race/Ethnic CategoriesWhat is your race? Mark one or more races to indicate what you consider yourself to be. White Other Description: Are you Spanish/Hispanic/ Latino? Mark the "No" box if not Spanish / Hispanic / Latino. No PhysicallyChallenged: No NOTE: lf appointed, you will be required to follow certain laws which apply to city board/committee members.These laws include, but are not llmlted to, the following: o Prohibition from directly or indirectly lobbying city personnel (Miami Beach City Code section 2459).o Prohibition from contracting with the city (Miami-Dade County Code section 2-11.1).o Prohibition from lobbying before board/committee you have served on for period of one year after leaving ofiice (Miami Beach Code section 2-26).o Requirement to disclose certain financial interests and gifts (Miami-Dade County Code section 2-1 1 .1). (re: CMB Community Development Advisory Committee): prohibition, during tenure and for one year after leaving office,from having any interest in or receiving any benefit from Community Development Block Grant funds for either yourself, or those with whom you have business or immediate family ties (CFR 570.611). Upon request, coples of these laws may be obtalned from the City Clerk, "l hereby attest to the accurary and truthfulness of the application and haye received, read and will abide by Ghapter 2, ArticleVll - of the City Code "Standards of Gonduct for Clty Officers, Employees and Agency Membors." I Francis Steffens agreed to the following terms on 1211012018 6:57:43 PM Received in the City Clerk's Office by: Name of Deputy Clerk Control No.Date 86 F. Michael Steffens P.A. ARCHITECT AA 0002904 AR 001 1052tD 4683 F. MICHAEL STEFFENS FIELDS OF SPECIALIZATION Architectural Design Historic Preservation EDUCATION Rice University, Houston, Texas Masters of Architecture 1984 University of Florida, Gainesville, Florida Bachelor of Design in Architecture 1981 REGlSTRATION Florida Personal AR 0011052 Florida Corporate AA 0003466 NCARB Certificate No. 33652 EXPERIENCE F. Michael Steffens, PA was formed in 1999. For the fourteen years previous to that date, Mr. Steffens engaged in the practice of architecture, interior design, planning, and related design services with Zyscovich lnc. Mr. Steffens project responsibilities encompassed the public sector and corporate and private clients who express a desire for quality in the built environment. Mr. Steffens has lived in Coral Gables for the past 30 years. Mr. Steffens was formerly Vice Chairman of the Coral Gables Planning and Zoning Board and past Chairman of the City of Miami Beach Design Review Board. He is a former member of the Coral Gables Board of Architects and the Coral Gables Historic Preservation Board. Specific Projects lnclude:. SIK Restaurant and Lounge, Miami Beacho La Goulue R*taurant, Bal Harbouro The Daily Restaurant, Miami. Yuga R*taurant, Coral Gabl*o Elia Restaurant, Bal Harbouro 2320 Ponce Office Building, Coral Gables. Coral Gables City Hall Renovation*. CW of Norttr Miami Beach Fire Station. StllforiE Hotel Renovation*, Miami Beacho Bass Museum Historic Renovation Consultant*, Miami Beach. The Anchor and The Justice of The Peace Hotels Relocation and Renovation,Anchor Place Shops and Pa*ing Garage*, Miami Beacho 1688 Meridian Renovation*, Miami Beacho Flamingo Towers Addition and Renovation", Miami Beacho MiamilnternationalAirportTerminalRenovation". Renovation of, and addition to, numerous historic hom* in South Florida 316 Miracle Mile Coral Gables, Florida, 33134305.448.5299 Voice305.444.0842 Faxmike@fmsarch.com email 87 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION BOARD OF ARCHTTECTURE & TNTERTOR DESTGN (850) 487-13952601 BLAIR STONE ROADTALLAHASSEEFL 32399-0783 STEFFENS, FRANCIS MICHAEL III 316 MIRACLE MILE CORAL GABLES FL 33134 Congratulations! With this license you become one of the nearlyone million Floridians licensed by the Department of Business andProfessional Regulation. Our professionals and businesses rangefrom architecls to yacht brokers, from boxers to barbequerestaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in orderto serve you betler. For information aboul our services, please log onto www.myfloridalicense.com There you can find moreinformation about our divisions and the regulations that impaclyou, subscribe to department newsletlers and learn more aboutthe Department's initiatives. Our mission at the Department is: License Efficiently, RegulateFairly. We conslantly strive lo serve y6u betler so th'at you canserve your customers. Thank yriu for doing business in Florida,and congratulations on your ne\ / license! STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSTQNAL REGULATTON AR0011052 ARCHITECT : IttsUED: 1211312016 STEFFENS. FRAiICIS MCHAEL III',*.*- "#;- lS LICENSED under lhe provrsrons o, Ch 481 FS ExpfarDn dste FEB 2A 2Or9 11512130001055 KEN LAWSON. SECRETARY DETACH HERE RICK SCOTT. GOVERNOR STATE OF FLORIDA DEPARTMENT OF BUSINESS ANO PROFESSIONAL REGULATIONBOARD OF ARCHITECTURE I INTERIOR DESIGN AR0011052 TheARCHITECTNamed below lS LICENSEDUnder the provisions of Chapter 481 FS Expiration date: FEB 28, 2019 STEFFENS, FRANCIS MICHAEL IT316 MIRACLE MILECORAL GABLES FL 33trE4., . DISPLAYAS REQUIRED BY LAWISSUED: 1211312016 sEo # 1161213000105588 89 THIS PAGE INTENTIONALLY LEFT BLANK 90 Samuel M. Sheldon 91 THIS PAGE INTENTIONALLY LEFT BLANK 92 g MIAMIBEACH NAME: Sheldon CITY OF M]AMIBEACH BOARD AND COMMITTEE APPLICATION FORM Samuel Last Name HOME ADDRESS: 4434 Post Ave First Name Miami Beach FL Middle lnitial 33140 Apt No. Home No./Street PHONE: 7864688332 7867353300 State Zip Code sam@samsheldon.com City Email Address Business Name: The Behar Law Firm. P.A. Address: 3323 NE 163rd Street, Suite 402 North Miami Beach FL position: Attorney 33160 City State Zip Code Pursuant to City Code section 2-22(41a and b: Members of agencies, boards, and committees shall be affiliated with the city; this requirement shall be fulfilled in the following ways: a) an individual shall have been a resident of the city for a minimum of six months; or b) an individual shall demonstrate ownership/interest for a minimum of six months in a business established in the city. o Resident of Miami Beach for a minimum of six (6) months Yes o Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: No o Are you a registered voter in Miami Beach: Yes o (Please circle one): I am now a resident of: Middle Beach o I am applying for an appointment because I have special abilities, knowledge and experience. Please list below: Am an attorney with knowledge of construction and administrative law, a Miami native, and Miami Beach homeowner o Are you presently a registered lobbyist with the City of Miami Beach? No Please list your preferences in order of ranking [1] first choice [2] second choice, and [3] third choice. Please note that only three (3) choices will be observed by the City Clerk's Office. (Regular Boards of City) Choice 1: Design Review Board Choice 2: Choice 3: * Board members are required to file Form 1 - "statement of Financial lnterest" with the State. lf you seek appointment to a professional seat (e.9., lawyer, architect, etc.) on the Board of Adjustment, Design ReviewBoard, Historic Preservation Board or Planning Board, attach a copy of your currently-effectively license, and furnish thefollowing information: Type of Professional License License Number License Expiration DateLicense lssuance Date Note: lf applying for Youth Advisory Board, please indicate your affiliation with the Scott Rakow Youth Center: 1. Past service on the Youth Center Advisory Board: 1o years of Service: 2. Present participation in Youth Center activities by your children No if yes, please list the names of your children, their ages, and which programs. List below: 93 . Have you ever been convicted of a felony: No lf yes, please explain in detail: o Do you currently have a violation(s) of City of Miami Beach codes: No lf yes, please explain in detail: . Do you currently owe the City of Miami Beach any money: No lf yes, please explain in detail: o Are you currently serving on any City Boards or Committees: No lf yes, which board? o What organizations in the City of Miami Beach do you currently hold membership in? Name Title Miami Beach JCC Temple Beth Sholom Vice-Treasurer Congregant o I am now employed by the city of Miami Beach: No Which department? o List all properties owned or have an interest in, which are located within the City of Miami Beach: Property 4434 Post Avenue Gender: Male The following information is voluntary and is neither part of your apptication nor has any bearing on your consideration for appointment. !t isbeing asked to comply with federal equal opportunity reporting requarements. Race/Ethnic CategoriesWhat is your race? Mark one or more races to indicate what you consider yourself to be. White Other Description: Are you Spanish/Hispanic/ Latino? Mark the "No" box if not Spanish / Hispanic / Latino. No PhysicallyChallenged: No NOTE: !f appointed, you will be requlred to follow certain laws which apply to city board/committee members.These laws include, but are not limlted to, the followlng: o Prohibition from directly or indirectly lobbying city personnel (Miami Beach City Code section 2459).o Prohibition from contracting with the city (Miami-Dade County Code section 2-11.1).o Prohibition from lobbying before board/committee you have served on for period of one year after leaving office (Miami Beach Code section 2-26).o Requirement to disclose certain financial interests and gifts (Miami-Dade County Code section 2-1 1 .1). (re: CMB Community Development Advisory Committee): prohibition, during tenure and for one year after leaving office,from having any interest in or receiving any benefit from Community Development Block Grant funds for either yourself, or those with whom you have business or immediate family ties (CFR 570.61 1). Upon request, coples of these laws may be obtained from the City Clerk. 94 "l hetrby attest to the accuracy and truthftrlner of tfie appllcatlon and have rpcelved, rcad and wlll ablde by Chapbr 2, ArtlcleVll - of tfie CIty Code "Standardr of Gonduc't for Cl$ Offlcerq Employeec and Agency temberr." I Samue! Sheldon agrced to the followlng terms on 1/1012019 6:12=12Plt Recelved in the City Clerks ffice by: Name of Deputy Clerk Control No. Date 95 Sam Sheldon 4434PostAvenue Miami Beach, Florida 33140 305-283-0581 sam@samsheldon.com EXPERIENCE: The Behat Law Firm, P.A., North Miami Beach, Florida Partner, August 2073 - present Counsel and represent local, out-of-state, and international clients in diverse matters in federal, state, bankruptc/: and appellate courts involving business disputes and complex civil litigation. Arnstein & Lehr, LI.P, Miaml, Florida Axociate, March 2072 - August 2013 Gunstet, Yoakley & Stewart, P.A., Miami, Florida Associate, August 2010 -January 2072 McDermott Will & Emery LLP, Miami, Florida Associate, March 2008 - August 2010 Paul, Weiss, Rifl<ind, Whatton & Garrison LLP, New York, New York Associate, November 2004 -Jatuary 2008 Summer Associate, S:ummer 2003 Skadden Arps Slate Meaghet & Flom LLP, NewYork, NewYork Artitrustl-,egal Assistant, November 1998 -July 2001 EDUCATION: University of Vitginia School of Law, Charlottesville, Virginia J.D.,May 2004o VirgtniaTax Rwiew,Articles Editor o $Tilliam Minor Lile Moot Courto Research Assistant fot Prof. Edmund Kitch New Yotk University, New York, New York B.A., Politics and Economics, May 1998.' 75% tuition merit scholarship o Dean's Listo International Economics Honot Society o Padiamentary Debate Assoc. BAR ADMISSIONS: Florida; New York; United States District Courts for the Southern, Middle and Northern Disuicts of Florida, Southern and Eastem Districts of New York, and District of Colorado; United States Courts of Appeals for the Tenth and Eleventh Circuits. HONORS AND ACTIVITIES: o Miami BeachJCC, Vice-Treasurer. Boy Scouts of America, Cub Scout Deo Iradero Florida Supet Lawyers Rising Star. z}O4Democratic Nominee for U.S. House of Representatives, Florida's 18m District 96 Ln0t20r9 Member Profile - Samuel Martin Sheldon - The Florida Bar Member in Good Standing Eligible to Practice Law in Florida MEMBER PRI)FILE Samuel Martin Sheldon Bar Number: 54088 MailAddress: The Behar Law Firm, P.A. 3323 N. E.]63 Street, Suite 4O2 North Miami Beach, FL 33'160-5596 United States Office: 786-735-3300 Cell:786-735-3300 - No Text Messages Fax:786-735-3307 Email: sms@beharlegal.com Personal Bar URL: https://www.florid a ba r.org/myba rprof i le/54o88 vCard:E Countlt Miami-Dade Circuit: 't'l Admitted: oilo812008 htps ://www.fl oridabarorg/directories/fi nd-mbr/profi le/?num=54088 U297 lll0l20l9 Member Profile - Samuel Martin Sheldon - The Florida Bar IO-Yea r Discipline H istory: None Law School: University of Virginia School of Law FederalCourts: Florida Southern District Bankruptcy Court U.S. Court of Appeals for the Eleventh Circuit U.S. Court of Appeals for the Tenth Circuit U.S. District Court, District of Colorado U.S. District Court, Eastern District of New York U.S. District Court, Middle District of Florida U.S. District Court, Northern District of Florida U.S. District Court, Southern District of Florida U.S. District Court, Southern District of New York State Courts: Florida New York Firm: The Behar Law Firm, P.A. Firm Website: http://beha rleg a l.com The Find a Lawyer directory is provided as a public service. The Florida Bar maintains limited basic information about lawyers licensed to practice in the state (e.9., name, address, year of birth, gender, law schools attended, admission year). However, The Florida Bar allows individual attorneys the opportunity to add personal and professional information to the directory. The lawyer is solely responsible for reviewing and updating any additional information in the directory. The lawyer's added information is not reviewed by The Bar for accurary and The Bar makes no warranty of any kind, express or implied. The Florida Bar, its Board of covernors, employees, and agents are not responsible for the accuraqy of that additional information. Publication of lawyers' contact information in this listing does not mean the lawyers have agreed to receive unsolicited communications in any form. Unauthorized use of this data may result in civil or criminal penalties. The Find a Lauuyer directory is not a lawyer referral service. https ://www.fl oridabar.org/directories/fi nd-mbr/profi lel?num=54O88 98 99 THIS PAGE INTENTIONALLY LEFT BLANK 100 James L. Bodnar 101 THIS PAGE INTENTIONALLY LEFT BLANK 102 (9 MIAMIBEACH NAME: Bodnar CITY OF MIAMIBEACH BOARD AND COMMITTEE APPLICATION FORM James Last Name HOME ADDRESS: gO1 Ocean Drive, Apt 507 First Name Miami Beach Florida Middle lnitial 33139 Apt No. Home No./Street PHONE: 305695.9451 212-7944744 State Zip Code jbodnar{rb@bodnar.com City Home Work Email Address Business Name: Address: position: Architect Street City State Zip Code Pursuant to Gity Code section 2-22(41a and b: Members of agencies, boards, and committees shall be affiliated with the city; this requirement shall be fulfilled in the following ways: a) an individual shall have been a resident of the city for a minimum of sixmonths; or b) an individual shall demonstrate ownership/interest for a minimum of six months in a business established in the city. o Resident of Miami Beach for a minimum of six (6) months Yes o Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: No o Are you a registered voter in Miami Beach: Yes o (Please circle one): I am now a resident of: South Beach o I am applying for an appointment because I have special abilities, knowledge and experience. Please list below: ! am an Architect, and I currently serve as the Chair of the Design Review Board o Are you presently a registered lobbyist with the City of Miami Beach? No Please list your preferences in order of ranking [1] first choice [2] second choice, and [3] third choice. PIease note that only three (3)choices will be observed by the City Clerk's Office. (Regular Boards of City) Choice 1: Design Review Board Choice 2: Choice 3: * Board members are required to file Form 1 - "statement of Financial tnterest" with the State. lf you seek appointment to a professiona! seat (e.9., lawyer, architect, etc.) on the Board of Adjustment, Design ReviewBoard, Historic Preservation Board or Planning Board, attach a copy of your currently.effectively Iicense, and furnish thefollowing information: Type of Professional License License lssuance Date License Number License Expiration Date Note: lf applying for Youth Advisory Board, please indicate your affiliation with the Scott Rakow Youth Center: 1. Past service on the Youth Center Advisory Board: 1o years of Service: 2. Present participation in Youth Center activities by your children No if yes, please list the names of your children, their ages, and which programs. List below: 103 . Have you ever been convicted of a felony: No lf yes, please explain in detail: o Do you currently have a violation(s) of City of Miami Beach codes: No lf yes, please explain in detail: . Do you currently owe the City of Miami Beach any money: No lf yes, please explain in detail: o Are you currently serving on any City Boards or Committees: Yes Design Review Board lf yes, which board? o What organizations in the City of Miami Beach do you currently hold membership in? Name o I am now employed by the city of Miami Beach: No Which department? o List all properties owned or have an interest in, which are located within the City of Miami Beach: Property 301 Ocean Drive, Apartment 506-507 Gender: Male The following information is voluntary and is neither part of your application nor has any bearing on your considGration for appointment. lt isbeing asked to comply with federal equal opportunity reporting requirements. Race/Ethnic CategoriesWhat is your race? Mark one or more races to indicate what you consider yourself to be. White Other Description: Are you Spanish/Hispanic/ Latino? Mark the "No" box if not Spanish / Hispanic / Latino. No PhysicallyChallenged: No NOTE: lf appointed, you will be requircd to follow certaln laws which apply to clty board/committee members,These laws lnclude, but are not llmlted to, the followlng: o Prohibition from directly or indirectly lobbying city personnel (Miami Beach City Code section 2-459).o Prohibition from contracting with the city (Miami-Dade County Code section 2-11.1).o Prohibition from lobbying before board/committee you have served on for period of one year after leaving ofiice (Miami Beach Code section 2-26).o Requirement to disclose certain financial interests and gifts (Miami-Dade County Code section 2-1 1 .1). (re: CMB Community Development Advisory Committee): prohibition, during tenure and for one year after leaving office,from having any interest in or receiving any benefit from Community Development Block Grant funds for either yourself, or those with whom you have business or immediate family ties (CFR 570.61 1). Upon request, copies of these laws may be obtained from the City Clerk. Title 104 "l hercby attet to the accuracy and truthfulness of the appllcatlon and have rccelved, read and wlll ablde by Ghap0er 2, ArtlcleVll - of fte Clty Code "Stand.rd! of Conduct for GlBr 0frlcerq Employees and Agency tembelt." I James Bodnar agrced to the followlng terms on 111201201E 1:14:30 Pt Received in the City Clerks ffice by: Name of Deputy Clerk Control No. Date 105 JAMES L. BODNAR, AIA, RIBA EDUCATION American Academy in Rome, Italy Post Graduate Fellowship, 1 979-1980 Yale University, New Haven, CT Master of Architecture, 1979 Catholic University of America, Washington, DC Bachelor of Architecture, 1974 Ecole des Beaux Arts, Fontainebleau, France Summer Program,7972. EXPERIENCE James Bodnar Architect, New York, NY Principal, 1990 to present Skidmore, Owings & Menill London, New York and Washington, DC Associate Partner, Designer, 1982 to 1990 Associate, Designer, 1980 to 1982 Designer, 1974 to 1977 I.M. Pei and Partners NewYork, NY Designer, 1978 PROFESSIONAL Registered Professional Architect, New York, Massachusetts and Maine Architectural Registration Council of the United Kingdom National Council of Architectural Registration Boards PROFESSIONAL AmericanlnstituteofArchitectsORGANIZATIONS Royal lnstitute of British Architects American Academy in Rome, Fellow, Trustee Emeritus Society of Fellows, AAR, President Emeritus Sculpture Center, Board of Trustees, Chair Emeritus Society of Architectural Historians Miami Beach Design Review Board, Chair AWARDS American Academy in Rome, Rome Prize Fellowship, 1979-1980 Steedman Travelling Fellowship, 1979 AIA School Medal, Yale University,l9T9All School Design Competition, Yale University,1977 TEACHING University of Texas, Austin, Department of Architecture, Visiting Crilic,1992 Harvard University, Graduate School of Design, Visiting Critic, l99l Massachusetts Institute of Technology, School of Architecture, Thesis Adviser,1991 University of Maryland, Department of Architecture, Visiting Critic, 1982 106 T,il 107 THIS PAGE INTENTIONALLY LEFT BLANK 108 Marc E. Umlas 109 THIS PAGE INTENTIONALLY LEFT BLANK 110 g 1,/,|AMIBEACH NAME: Umlas CITY OF MIAMI AEACH BOARD AND COMMITTEE APPLICATION FORM Marc Last Name First Name Middle lnitial HOME ADDRESS: 1424 South Biscayne Polnt Road Mlaml Beach 33141 Apt No. Home No./Street City State Zip Code PHONE: 3058655605 3055321224 umlas@bellsouth.net Email Address Business Name: tlarc E Umla3. ilD. PA posiffon: Orthopaedlc Surgeon Address: 4302 Alton Road Miaml Beach Florlda 33140 City State Zip Code Pursuant to City Code soctlon 2-22(11a and b: Members of agencies, boards, and committees shall be affiliated with the city; this requirement shall be fulfilled in the following ways: a) an individual shall have been a resident of the city for a minimum of six months; or b) an individual shall demonslrate ownership/interest for a minirnum of six months in a business established in the city. o Resident of Miami Beach for a minimum of six (6) months Yerr Demonstrate an ownership/interest in a business in Miami Bcach for a minimum of six (6) months: Yes . Are you a reglstered voter in Miami Beach: Yes. (Please circle one): I am now a resident of: North Beach o I am applying for an appointment because I have special abilities, knowledge and experience. Please lisl below: I have prac{iced mediclne ln Miami Beach for 22 years. I have prevlously served on the Health Facllltles Authorlty Board.. Are you presently a registered lobbyist with the City of Miami Beach? No Please list your preferences in order of ranking [1] first choice [2] second choice, and [3] third choice. Please note that only three (3] choices wlll be observed by the Cky Clerk'e Offlce. (Regular Boards of City) Cholce'l: HealthAdvisoryCommittee Cholce 2: Health Facilities Authority Board Cholce 3: * Board membep are requlred to f,le Form I - "statement of Flnanctal lntortrt" with tho State.lf you seek appolntrncnt to a profcrelonal reat (e.9., lawyer, archltcct, etc.) on tho Board of AdJurtment Deslgn ReviewBoard, Hlstorlc Preservatlon Board or Plannlng Board, attach a copy of your currently+ffectlvely llcenee, and furnlch thefollowlng lnformatlon: Type of Professional License License Number License Expiration DateLicense lssuance Date Note: lf applying for Youth Advlsory Board, please indicate your afflllallon wlth the Scott Flakow Youth Centen 1. Past service on the Youth Center Advisory Board: po years of Servlce: 2. Present participation in Youth Center activitiee by your children No if yes, please list the names of your children, their ages, and which programs. List below: 111 . Have you ever been convic{ed of a felony: No lf yes, please explain in detail: e Do you cunently have a violation(s) of City of Miami Beach codes: No lf yes, please explain in detail: . Do you cuirenty owe the City of Miaml Beach any money: No lf yes, please explain ln detril: . Are you cunently serving on any City Boards or Committees: No lf yes, which board? r What organizations in the City of Miami Beach do you currently hold membership in? o I am now employed by the city of Miami Beach: No Which department? o List all properties ovwred or have an interest in, which are located within the City of Miami Beach: Gender: Male The followlng lnformailon ls votuntary and ir nelther part ol your appllcallon nor har any bearlng on your conslderation for appolntment. lt lsbelng asked to comply wlth federal cqual opportunlty roportlng roqulrcmontr. Race/Ethnic CategoriesWhat Is your race? Mark one or more races to indicate what )lou consider yourself to be. Whlte Other Descriptlon: Are you Spanish/Hispanic/ Latino? Mark the ''Non box if not Spanish / Hispanic / Latino. No PhysicallyChallenged: No NOTE: lf appointed, you wlll be requir€d to follow cartain law! whlch apply to clty board/commltteo memberc.These lawr lncludc, but ar€ not limlted to, the followlng: o Prohibitlon from directly or indlrectly lobbylng city personnel (Miami Beach City Code sedion 2459).o Prohibition from conlracting with ihe city (Miami-Dade County Code seclim 2-l 1.1).o Prohibition from lobbying before board/commiftee you have served on for period of one year aftor leaving office (Miami Boach Codo section 2-26).o Requirement to disclose certain financial interests and gifts (Miami-Dade County Code sec.tion 2-11.1). (re: CMB Community Davolopment Advisory Committee): prohibition, during tonurs and for one year after leaving office,from having any interesl in or receiving any benefit from Community Oevelopment Block Grant funds for eilher yourself, or those with whom you have businese or immodiate femily ties (CFR 570.61 1). Upon rrquolt copir! ol tho3c latf,! mEy bc obtalnod from tha Clly Chrk. "l hereby atto8t to th. accur.cy and truthfulner. of tho appllcatlon and have recslved, rcad and wlll ablde by Chaptcr 2, ArtlcloVll - of th6 Clty Code "Standardr of Conduct lor Clty Offlcerr, Employcar and Agency Momberr." I Marc Umlas agreed to the followlng tcrm3 on 1l8l2ol7 l0:56:50 PM Received in the City Clerk's Office by: Name of Deputy Clerk Control No.Date 112 Curriculum Vitae MARC EVAN UMLAS, M.D., F.A.C.S., F.A.A.O.S. CURRENT ADDRESS: 1424 S. Biscayne Point Road Miami Beach, Florida 33141 (305) 86S.5605 BUSINESS ADDRESS: Marc E. Umlas, M.D., P.A. 4302 Alton Road, Suite 950 Miami Beach, Florida 33140 (3051 532-4224 DATE AND PLACE OF BIRTH: September 28, 1962 - New York, New York MARITAL STATUS: Married, \Mfe: Rachel Umlas, Children: Jordan, Max, Hannah ACAOEMIC APPOINTMENTS l Chairman, Departm€nt of O(hopaedic Surgery and Rehabilitation Mount Sinai Medical Center Miami Beach, Florida July 2013 - Present Chief. Division of Orthopaedic Surgery Mount Sinai Medical Center Miami Beach, Florida October 2009 - July, 2013 Acting Chie( Division of Orthopaedic Surgery Mount Sinai Medical Center Miami Beach, Florida 2004, 2008 - Sepbmber 2009 Clinical Professor Department of Orthopaedic Surgery Florida lnternational University School of Medicine 2013 - Present Cl inical Associate Professor Department of Orthopaedic Surgery Florida lnternational University School of Medicine2010- 2013 Clinical Assistant Profeseor Department of Orthopaedic Surgery Florida lnternational University School of Medicine 2009 - 2010 Voluntary Clinical Assistant Professor Departrnent of Orthopaedics and Rehabilitation University of Miami School of Medicine, 1997-2003 Medical Student Clinical Clerkship Director, Orthopaedic Surgery Mount Sinai Medical Center 20O$Present Consultant Reviewer, Editorial Staff, Journal of Bone and Joint Surgery, 20O&Present Appointee, American Academy of Orthopaedic Surgery- Adult Reconstruction - Knee Program Committee, 2012-Present 113 Appointee, American Academy of Orthopaedic Surgery - Adult Reconstruction - Hip Program Committee, 2009-2012 Diplomat, American Board of Orthopaedic Surgery, 1997 Recertified 2006. ACADEMY MEMBERSHIP Fellow, Anrerican Academy of Orthopaedic Surgery, 1999 Fellow, American College of Surgeons, 2001. Member, American Association of Hip and Knee Surgeons, 2000 EAU9AIIAT.I FELLOWSHIP; Fellowship in Arthritis Surgery and Joint Reconstruction Clinical Fellowship under the Direction of Dr. Chitranian Ranawat Professor, Comell Univereity Medical School Center for Total Joint Replacement Lenox Hill Hospital NewYork, NewYork 8194-7195 FELLOWSHIP: Adult Reconstructive Surgery/Total Joint Fellowship Clinical Fellowship under the Direction of Dr. Donald Reilly Harvard Medical School Beth lsrael Hospital Boston, Massachusetts 2194 -7194 RESIDENCY: Harvard Combined Orthopaedic Surgery Program Harvard Medical School Boston, Massachusetts Resident in Orthopaedic Surgery, 1989 - 1993 INTERNSHIP: Brigham and Women's Hospital Harvard Medical School Boston, Massachusetts lntern in General Surgery, 1gEE - 19E9 MEDICAL SCHOOL: Stanford Universig School of Medicine Stanford, CaliforniaDegree: M.D., 1988 COLLEGE: Harvard University Cambridge, Massachusetts Degree: A B., Magna Cum Laude in Biochemical Sciences, 1984 HIGH SCHOOL: North Miami Beach Senior High School North Miami Beach, Florlda Valediclorian, 1980 EUIIOIUEII; Associate in Orthopaedic Surgery Beth lsrael Hospital, Harvard Medical School, Boston, Massachusetts July 1, 1993 - December 31, 1993 Mount Sinai Medical Center Miami Beach, Florida 33140 November 20, 1995 - June 30,1999. 114 Marc E. Umlas, M,D., P.A. 4302 Alton Road, Sulte 950 Miami Beach, Florida 33140 July 1, 1999 - present @ SIAIEU9EISEiI ACADEIUIC.HAIOBS; ACADEUIC. ACIIYIUESI BE$ABAH.r 1995- Current 1994- 1995 t992- t993 Mount Sinai Medical Center, Miami Beach, Florida Jackson Memorial Hospital, Miami, Florida California, issued 5/25194 Florida, issued 8/4/94 Magna Cum Laude, Harvard University, 1984 John Harvard Scholar, '19E2 -1983 Harvard College Scholar, 1980-1981, 1981-1982, 1983-1984 Dean's List, Harvard College, 1980 -1984 Recipient of the American Cancer Society Research Fellowship, PapanicolaouCancer Research lnstitute, 1981, 1982, 1983 National Merit Scholar, 1984 Medical Student Clinical Clerkship Director, Orthopaedic Surgery Mount Sinai Medical Center, Miami Beach, Florida (2009-present) Lead lnstructor, Medical Student Rotations in Orthopaedic Surgery Mount Sinai Medical Center, Miami Beach (201O-present) Teaching Pre-Clinical FIU Medical Students in Musculoskeletal Physical Examination Florida lnternalional University School of Medicine (2009-present) Developed Mount Sinai Medical Cente.'s Orthopaedic Surgery Rotation Curriculum Outcome Studies involving Minimally lnvasive Hip/Knee Replacement Surgery, Blomechanlcs and Clinlcal Applications of Porous Tantalum, Computer Modeling of Component Wear, Prevention and Management of Osteolysis. Lenox Hill Hospital, Clinical research with Chitranjan S. Ranawat, M.D. Ongoing projecls include: Conelating long term results of cemented acelabular Eockets with the early radiographic appearance of the bone- cemenl inlerfact; Non-invasive evaluation of acetabular component wear; Total knee component alignment and palello-femoral complications; Fat embolism and cement pressurization of the reamed acetabulum; Interm€diate results of HA-coated fernoral stems. Massachusetts General Hospital Department of Orthopaedic Surgery, Boston. Clinical re8earch with Richard H, Gelberman, M.D. Proiect involved a prospcctive study examining patterne of diseased fascia, especiallyspiral cord formation in patients with Dupuytren's Contraclure. 115 1992 - 1993 1987 - 1988 1985 - 1988 1982 - 1984 Summers1981 1982, 1983 1978 - 1980 Summer'1979 EUEIJCAIIAISi Children's Hospital Department of Orthopaedic Surgery, Boston. Clinical research with Michael Millis, M.D Prolect involved a retrospective study of the Children's Hospital experience with inlertrochanteric osteotomy as a treatment for osteonecrosisof the femoral head. Stanford Medical School Department of Orthopaedic Surgery. Clinical Research under the supervision of Eugene E. Bleck. M.D. Project rnvolved correlating several prognostic indicators for the succ€ss of operative clubfoot correction. Research Assistant, Stanford Medical School Department of Medicine. lmmunology/RheumatologyResearch in the laboratory of C. Garrison Fathman, M.D., Associate Professor. Project involved the induction of allograft tolerance through the use of specific anti-L3T4 monoclonal antibodies in murine heart and islet cell transplant model systems. Research Assistant, Laboratory of Biochemical Pharmacology, Dana- Farber Cancer Research lnstitute, Boston Radiation Biochemistry and DNA Damage Research under the supervision of VVilliam A. Haseltine. Ph.D. Project involved the study of DNA photoproduct induction and photosensitization in defined sequence native DNA and specific clinucleotides. Project culminated in an A.B. Honor's Thesis. Research Assistant, Papanicolaou Cancer Research lnstitute, Miami, Molecular Biology of Cellular Differentiation Research in the laboratory of Robert Zucker, Ph.D., Assistant Professor. Project involved studying the effects of various agents which induce cellular differentiation on gene expression in a murine erythroleukemic cell line. Research Assistant, University of Miami Medical School/Miami Veterans Administration Hospital. Neurosurgery/Neuropathology Research under the direction of Carl Sutton, M.D., Professor. Project involved the study of the effects of microwave hyperthermia on DNA synthesis and tumor blood flow in a murine ependymoblastoma tumor model. Research Assistant, Rensselaer Polytechnic lnstitute Physical Chemistry of Surfaces Research under the direction of S. Ross, Ph.D. Project involved studying the foaming and defoaming characteristics of ternary chemical systems in relation to the phase properties of the system. Umlas, M.E., "Minimally lnvasive Total Hip Replacement though a superior Transverse lncision" Submitted for publication. Journal of Arthroplasty. Umlas, M.E. and R.H. Gelberman: "Surgical Management of deQuervain's Dasease," ln: Master Technigues in Orthopaedic Surgery 3rd Edition. Ed: Gelberman, RH Raven Press, New York, 2010 Umlas, M.E. and R.H. Gelberman: "Surgical Management of deQuervain's Disease," ln, Master Techniques in Orthopaedic Surgery 2nd Edition, Ed: Thompson, RC. Raven Press, New York, 2002. Rodriguez, Jose A., Ranawat, Chikanjan S., Maniar, Rajesh N and Umlas, Marc E, lncisional cellulitis after total hip replacement. J, Of Bone and Joint Surgery. 80-B (5):876-878, 1 998. Ranawat, C S., Miyasaka , K, Umlas, ME, and Rodriquez, J.A,Jr. The Hip. Book Chapter: Textbook of Rheumatology, sth Ed., Kelley et a/., ed s., W.B. Saunders 1 997 116 Ranawat, C.S., Peters, L.E. and Umlas, M.E. Fixation of the Acetabular Component: The Case for Cement. Clin. Orthopaedics and relaled research. 344:207-215, 1997. Ranawat, C.S., Peters, L.E., and Umlas, M.E.: "Fixation of the Acetabular Component: The Case for Cement". J. Arthroplasty. 11(1):1-3, 1996. Maniar, R.N., Umlas, M.E., Rodriguez, J.A., and C.S. Ranawal: Supracondylar Femoral Fracture Above a P.F.C. Posterior Cruciate Substituting Total Knee Replacement Treated with Supracondylar Nailing: A Unique Technical Problem. J. Arthroplasty. 11(5):637-9, 1996. Ranawat, C.S., Deshmukh, R.G, Peters, L E, and M.E. Umlas: Prediction of the Long Term Durability of All-Polyethylene Cemented Sockets Based on the Early Radiographic Appearance of the Bone- Cement lnterface. Clin. Orthopaedics, 317:89-105, 1995. Maynard, M.J., Ranawat, C.S., Flynn, W.F ., and M.E. Umlas: Total Hip Replacement Arthroplasty in Patients wilh lnflammatory Arthritis. Seminars in Arthroplasty Vol. 6(3), p. 145-166, July, 1995. Umlas, M.E., and C.S. Ranawat: ln Vivo Comparison of Wear Rates in All- Polyethylene Cemented Acetabular Cups with 22mm and 28mm Femoral Heads: Presentation of a Simplified Technique for Wear Measurements. Abstract and Presentation, Lenox Hill Hospital Orthopaedic Alumni Day Symposium. (Proceedings of the 1st Annual Meeting, New York) June, 1995. Ranawat, C.S.; Deshmukh, R.G.; Peters, l.E.; Umlas, M.E. Prediction of the Long Term Durability of All-polyethylene Cemented Sockets Based on the Early Radiological Appearance of the Bone-Cement lnterface: A Five to Fifteen Year Follow-Up of Cemented Total Hip Replacement. Clinical Orthopaedics, No. 309,p 131-5, December 1994 Umlas, M.E. and R.H. Gelberman: "Prediction of Neurovascular Displacement in Digits with Dupuytren's Contracture" . J. Hand Surgery. '198: 664-6, 1994. Umlas, M.E. and R.H. Gelberman: "Surgical Management of deQuervain's Disease," ln: Master Techniques in Orthopaedic Surgery Ed: Thompson, RC. Raven Press, NewYork, 1994. Zucker, R M , M.E Umlas, D.L. Decal and K.B. \Mittington: Hemoglobin Synthesis in Murine Erythroleukemic Cells: Hemin Effects. Cell Biochemistry and Function. 5: 27 -35,'1987. Umlas, Marc E., Gerald Chan, and WA Haseltine: Chemical Photosensitizationfor the lnduction of Specific Adducts in Defined Sequence DNA. Photochemistry and Photobiology. 42, 265-273, 19E5. RECENT PRESENTATIONS Moderator, "Adult Reconstruction Knee ll: Primary TKA", Annual Meeting of the American Academy of Orthopaedic Surgery, Orlando, FL, March 1, 2016 Moderator, "Adult Reconstruction Knee ll: lnfection in TKA", Annual Meeting of the American Academy of Orthopaedic Surgery, Las Vegas NV, March 24, 2015 117 Moderator,"Hip Paper SeBEion 1", Thromboembolic Disease/Complications of Total Hip Arthroplasty, Annual Meeting American Academy of Orthopaedic Surgery, San Diego CA, February7,2012 "New Horizons in LesE lnvasive Hip and Knee Arthroplasty", Grand Rounds, Mount Sinai Medical Center Department of Orthopaedic Surgery, April 4, 2011 Moderator, "Hip Paper Session Vl", Complications of Total Hip Arthroplasty, Annual Meeting of the American Academy of Orthopaedic Surgery, San Francisco, CA February 17,2011 "Minimally lnvasive Joint Reconstruction of the Hip and Knee", lnternational Medical Congress - Advances in Minimally lnvasive Treatments, Florida lnternational University/University of Miami Schools of Medicine, Ritz-Carlton South Beach, July 2, 2010 PROFESSIONAL SOCIETIES AND ACTIVIT!ES: CURRENT Member, American Association of Hip and Knee Surgeons Fellow, American Academy of Orthopaedic Surgery Member, Eastem Orthopaedic Association Membar, Florida Orthopaedic Society Member, Miami Orthopaedic Club Member, Florida Medical Association Member, Stanford Univercity Mediqal School Alumni Association Member, Harvard Alumni Association, member of Schools Committee Member, Lenox Hill Hospital Alumni Association HOSPITAL COUMITTEES Credentials Com mittee, MSMC, 2003-present (Chairman [20 1 2-present], Vice Chairman l2OO9-20121) Medical Executive Committee, MSMC, 20 1 2-present Quality Assurance Committee, MSMC , 2003- present Perioperative Review Committee, MSMC, 2003-present Surgical Review Committee, MSMC, 2oo$present lnbctions Committee, MSMC, 2003-present lnstitutional Review Board/Human Subjects Committee, MSMC, 1997-9 Operating Room Committee, MSMC, 1997- 2003 (Vice Chairman 1999-2001) 118 RESIDENCY/FELLOWSHIP Resident Member, American Academy of Orthopaedic Surgery, 1989 - 1995. Member, American Medical Association Member, Massachusetls Medical Society MEDICAL SGHOOL S€nator, Representing the Medical School and Law School and Business School in the Associated Students of Stanford University Senate. 1984 - 1985. 1985 - '1986 Governor, Board of Governors, Stanford Medical School Alumni Association, 1987-1 988 Class Representativo to Stanford Medical School Students Aseociation student senate, 1 9E7-1986 Stanford Medical School Admissions Committee, Student lnterviewer and File Reviewer, 1985-1988 American Medical Student Association Califomia Medical Association COMMUNITY Director, National Board of Directors, Mueeum of Science and lndustry, Tampa, Flonda (2012-Present) Director, Board of Directors, Fox Observatory, Fort Lauderdale, Florida (2012-present) Health Facilities Authority Board, City of Miami Beach (2007-2014) Judge, Miami Herald Silver Knights Awards (2002-present) Judge, Florida State Science Fair, Florid€ Foundation for Future Scientists Secretary, South Florida AmateurAstronomy Association, Ft. Lauderdale, Florida Colonel, Honorable Order of Kenhrcky Colonels, by appointment of the Governor of Kentucky Past MastEr, Hurricane Lodge #401, Free and Accepted Masons, Grand Lodge of Florida Member, Scottish Rite of Free and Accepted Masons, Valley of Miami Shriner, Mahi Shrine, A.A.O.N.M.S., Miami, Florida Member, Harvard Alumni Association 119 Member, Stanford Alumni Association Member, Stanford Medical Alumni Association Member, Dade Radio Club, Miami, Florida Member (NU2U), American Radio Relay League Member, 332nd Red Tail Squadron Flying Club, Ft. Lauderdale, Florida Member, United States Power Squadrons 120 "-rw Page I of I :... ..1,1' 1r http ://employee/BACAdmidHome/GetFile/ I 39 6 I 89 5 6/8t2017121 THIS PAGE INTENTIONALLY LEFT BLANK 122 Steven D. Sonenreich 123 THIS PAGE INTENTIONALLY LEFT BLANK 124 l'rnilAAr4 i Bf ACh'{ -f o 11 e-n r. , r-h J+e.v e- n bilil {R O .a.t.l ii ;l C$ f.i!,'f T f ir: r".i:' i )1,;CAT I * it ; ;F irl Last Name First Name Middle lnitial3rrs65nnf ($/ l3l Te-rt(c€- l'y'\ra'vnr trlori de. Home Address City -f,o-s: L L l - 'l qA5- ?o(- b1,1. L2-1-Z _9 o_r: 931- zrl U I S )S@ rn_( rn d., C D rr1 State Zip Code Home Telephone Work Telephone Cellular Telephone- Pr zs, der.t Email addressn#_f Business Name OccuoationY3oo AltonKoo.cl rnrq,rrB.{((L' Flp,,ld\ 33 l+o Business Address State Zp Code Professional License (describe):X\ cr^-Expires: t \ \ e, Please list your preferences in order of ranking [1] first choice [2] second choice, and [3] third choice. Please note thatonlv three (3) choices will be observed bv the Office of the Citv Clerk. Page 1 of4F:\CLER\SALL\aFORMS\8OARD AND COMMITTEES\BC APPLTCATION REVTSED 0614ZO16.docx City Purcuant to City Code section 2-22(4la & b: Members of agencies, boards and committees shall be affiliated with the City. This requirement shall be fulfilled in the following ways: a. An individual shaJl have been a resident of the City fora minimum of six months; or b. An individual shall demonstrate ownershipiinterbst for a minimum of six months in abusiness established in the City for a minimum of six months. /o Resident of Miami Beach for a minimum of six (6) months: yes E or Xo El /o Demonstrates ownership/interest in a business in Miami Aeaadfura minimum of six months: Yes E or. no E o Are you a registered voter in MiamiBeach: Yes E or ruo E o I am now a resident of: North Beach fl Souttr Beach E miaate Beacn Eo I am applying for an appointment because I have special abilities, knowledge and experience. Please list below: / o Are you presently a registered lobbyist with the City of Miami Beach? Yes E or Uo ffi I Affordable Housing Advisory Committee ttHealth Advisory Commitlee o Parks and Recreation Facilities Board 6 i Art in Public Places Committee D Health Facilities Authoritv Eoard -- Personnel Board O Audit Committee 0 Hisoanic Affairs Committee D Plannino Board"t! Board of Adiustment '*E Hlstorlc Preservalion Board*U Police Citizens Relations Committeei Budoet Advisorv Commitlee 0 Housinq Authoritv D Produclion lndustrv Council C Committee on th€ Homeless E Human Riohts Committee E Sister Cities Prooram! Committee for Qualitv Education in MB n LGBT Advisorv Committcc 0 Sustainability Commiftee O Convention Center Advisory Board D Marine & Waterfront Protec-tion Authority 0 Transportation, Parking, & Bicycle-Pedestrian Facilities Committee C Cultural Arts Council 0 Miami Beach Commission forWomen l'l Visitor and Convention Authoritv D Design Review Boardfr 0 Normandy Shores Local GovernmentNeiohborhood lmorovement o Youth Commission I Disability Access Commitee * Board members are required to file Form 1 - "statement of Financial lnterest" with the State.f lf you seek appointment to a professional aEat (e.g., lawyer, architect, etc.) on the Board of Adjustment, Design ReviewBoard, Historic Preservation Board or Plannlng Board, attach a copy of your currently+ffectively license, and furnish thefollowing information : Type of Professional License License Number License lssuance Date License Expiration Date _ 125 6 Note: lf applying for the Youth Center positions of the Parks and Recreations Facilities Board, please indicate your affiliation with the Scott Rakow Youth Center and/orthe North Shore Parks Youth Center: o Please describe your past service with the City's Youth Centers (include dates of service): o Present participation in Youth Center activities by your children: yes fl No ff lf yes, please list below the names of your children, their ages and the programs in which they participate: Age: _ Program: Age: _ Program: Child's name: Child's name: Have you ever been convicled of a felony? Yes lf yes, please explain j . Do you currently have a violation(s) of City of Miami Beach Code? yes E or lf yes, please explain in detail: . Do you currently owe the City of Miami Beach any money? Yes E o, Ho 6 lf yes, explain in detail: o Are you currently serving on any City Board or Committee? yes Ei or Uo E lf yes, which o ln what organization(s) in the City of Miami Beach do you currently hold membership? Position Name Position o List all properties owned or in which you have an interest within the City of Miami Beach: o Are you now employed by the City of Miami Beach? Yes E or No Which department and title? o Pursuant to City Code Section 2-25 (bLqo you nqylparent E, spouse F, child E urotner E o, sister E who is employed by the City of Miami Beach? yes Eor Ho f9 lf "Yes,' identify person(s) and department(s): The following information is voluntary and is neither part of your application nor has any bearlng on your consideration forappointment. lt is being asked to comply with City diversity reporting requirements. Gender: Male lJ Fernale Race/Ethnic Categories What is your race?E ntrican-nmerican/Blackff CaucasianANhiteE R.i"n or Pacific lslanderE ru"tir"-Rmerican/American lndian F:\cLER\$ALL,aFoRMS\aoARD ANo coMMrrrEEs\Bc AppLrcAT,o* *.r,SSn?ulitolu ** 126 E orn"r- Print Race: Do you consider yourself to be Spanish, Hispanic or Latino/a? Ma* the "No" box if not Spanish, Hispanic, Latino/a. EruoE y"" Do you consider yourself Physically Disabled? EruoE Y", NOTE: lF APPOINTED, YOU WLL BE REQUIRED TO FOLLOW CERTAIN LAWS THAT APPLY TO CITY BOARD/COMMITTEE MEMBERS. THESE LAWS INCLUDE, BUT ARE NOT LIMITED TO:o Prohibition from directly or indirectly lobbying City personnel (Miami Beach City Code section 2-459)o Prohibition from contracting with the City (Miami-Dade County Code section 2-11.1).c Prohibition from lobbying before the board/committee you have served on for period of one year after leaving office (Miami Beach City Code section 2-26).c Requirement to disclose certain financial interests and gifts (Miami-Dade County Code section 2-11.1).o CMB Community Development Advisory Committee: prohibition, during tenure and for one year afler leaving office, from having any interest in or receiving any benefit from Communig Development Block Grant funds for either yourself, or those with whom you have business or immediate family ties (CFR 570.611).o Sunshine Law - Florida's Govemment-in-the-Sunshine Lar,v was enacted in 1967. Today, the Sunshine Law regarding open government can be found in Chapter 286 of the Florida Statutes. These statutes establish a basic right of access to most meetings of boards, commissions and other governing bodies of state and local governmental agencies or aulhorities.o Voting conflict - Form 88 is for use by any person serving at the county, city or other local level of governrnent on an appointed or elected board, council, commission, authority or committee. lt applies equally to mernbers of advisory and non-advisory bodies who are presented with a voting conflict of lnterest under Seclion 112.3143, Florida Statutes. Upon request, copies of these laws may be obtained from the City Clerk. I HEREBY ATTEST TO THE ACCURACY AND TRUTHFULNESS OF THE APPLICATION; AND I HAVE RECEIVED, READ ANDW|LL ABIDE BY CHAPTER 2, ARTICLE VII, OF THE MIAMI BEACH CITY CODE, ENTITLED "STANDARDS OF CONDUCT FOR CITY OFFICERS, EMPLOYEES AND AGENCY MEMBERS AND ALL OTHER APPLICABLE COUNTY AND/OR STATE LAWS AND STATUTES ACCORDINGLY.'' 1l lo-2r-,U S'+e-.,,a:b- s. Received in the of the City Clerk by: Name of Deputy Clerk Control No Date OF ANYATTACH A CURRENT RESUME, PHOTOGRAPH AND A COPY APPLICABLE PROFESSIONAL LICENSE. ATTACH ADDITIONAL SHEETS, IF NECESSARY, TO PROVIDE REQUIRED INFORMATION. Page 3 of4 F:\CLER$ALL\aFORMS\BOARD AND COMMITTEES\BC APPLICATION REVISED 06142016 docx 127 MIAMIBEACH €ity of Miomi Beqch.l700 Convenlion Cenier Drive, Miomi Beoch, Florido 33139, www.miomibeochfl.oov OFFICE OF THE CITY CLERK CityClerk@m i o m ibeochfl. gov Telephone: 305.673.741 1 Fox: 305.673.7254 Acknowledgement of fines/suspension for Board/Committee Members for failure to comply with Miami- Dade Gounty Financial Disclosure Code Provision Code Section 2-1f .1(i) (2) Board Member's Nanre: lunderstandthatnolaterthan@allmembersofBoardsandcommitteesoftheCityof Miami Beach, including those of a purely advisory nature, are required to comply with Miami-Dade County Financial Disclosure Requirements. This means that the members of City Advisory Boards, whose sole or primary responsibility is to recommend legislation or give advice to the City Commission, must file, even though they may have been recently appointed. One of the following forms must be filed with the City Clerk of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida, no later than 12:00 noon of July 1, of each year. 1. A "Source of lncome Statement" 2. A "Statement of Financial lnterests (Form '1)" 3. A Copy of your latest Federal lncome Tax Return Failure to file one of these forms, pursuant to the Miami-Dade County Code, may subject the person to a fine of no more than $500, 60 days in jailor both. Updated: Tuesday, October 04, 2016 Page 4 ol 4 F:\CLER\$ALLIaFORMS\BOAR0 AND COMMITTEES\BC APPLICATION REVISED 06142016 docx 128 Mount Si naiMEDICAL CENTER Steven D. Sonenreich Steven D. Sonenreich, President and Chief Executive Officer, joined Mount Sinai Medical Center, Miami Beach, Florida, in 1976. After serving as Executive Vice President and Chief Operating Officer from 1990 to 1995, Mr. Sonenreich became the Chief Executive Officer of Cedars Medical Center in Miami, Florida. ln November 2001, Mr. Sonenreich returned to Mount Sinai Medical Center and became its President and Chief Executive Officer. Under Mr. Sonenreich's leadership, Mount Sinai has been named as one of America's Top Hospitals in Geriatric Medicine for five consecutive years by U.S. News and World Report. Mr. Sonenreich spearheaded Mount Sinai's affiliation with Columbia University, New York, New York, creating The Mount Sinai Columbia University Divisions of Cardiology, Cardiac Surgery and Urology. He was honored as Citizen of the Year by the Miami Beach Chamber of Commerce in 2072. He served as chair of the Florida Hospital Association Board of Trustees in 2013; and has been a member of the board of The Safety Net Hospital Alliance of Florida since 2005. Mr. Sonenreich earned his Bachelor of Arts degree from the State University of New York at Binghamton and a Master of Business Administration and Certification in Healthcare Administration from the University of Miami, Coral Gables, Florida. Mount Sinai Medical Center 4l00Arton Road MiamiBearh.Fl 11140 Phone: 105 674.2121 msmc.com Mount Sinai Prima.y & Sp€cialty Care . Aventura . Key Bisciyne . Sunny r;ies Beach . Co.ll Gdbles , ivismr Sho'es , Mounl Srodr Cardiology . hialeah , Skylake sitlrcplorrddKevs Mount Sinai Free-Slanding Emergency Oepartments , |{ialeah Mount Sinai ComprehensiYeCancerCefiter 1304r AltoF Rcad MidnriBedLh, tL33l.4C Phone 305.b76.4557 mSccc.com 129 130 Mark L. Rabinowitz 131 THIS PAGE INTENTIONALLY LEFT BLANK 132 MlAlo"lBEACH BOiRD ANO CO$M "lEE ,1PPI-iCATiON FORMRabinowitz Mark L Lasl Name Flrst Name Middlo lnititl 1550 llE 0uavside Ierrace Miami tlorida 33138 Home Addrcoa Clty State Zip Qodo l.liami Eeach tlorida 33r33710 Alton Road Bu.ins3E Addrcls City State Prof.$ional Lic.ns. (d.rcrib6): li{Edical 00cl0l Explrc3Place atbch a copy of cunpntly el/,!/cdvc prcfqslonal license PuEu.nt to Clty Cod. ..cdon 2.22(a)r & b: Mcmb€6 ot agGncies, boards and committec! shall bo affilieted wiul thc Cily, This requirement shall be fulfillGd in the following wayB: a. An individual shall havo been a resident of fie City fbra minimum of six months; or b. An individual shall demonstratc ownership/intercst for a minimum of six months in abusin$s ostablished ln the Clty for a minimum of Bix nlonthg, o Residant of Miami Beach for a mlnimum of six (6) monthr: Ycr El or no Ei. oemonstratea o$nership/inter€3t in a burineso in Miami Beach for a minimum of six months: Ycr 6l or m EJr Are you a registercd votcr in Miami Beach: Y.. f] or to CIJ. I am now a resident of: North Boech El South Beach EI Middle Bcech J Noner I am applying for an appointrnont because I have special abilities, knowledge and exparience. Ple.lc llrt below: I am a mcdinal dnntnn and I am the llF[ rnd llhief llcdinal fiffieer n{ the Miami Bennh lnmmuniiy Henlth fenter e fldenally flrralified Eammuritl lleol$ Eenter thet Frovidetna*aol $rd6€a ta the idilent peFslati6+e{ l{iEmi 0Ede end guraundino eilntier: . Are you presently a registercd lobbyist with the City of Miami Beach? Ycl El or lrlo E Please list your prefcrcnccr in ordcr of ranking ltl first choics [2i second choice, and [3] third choice. PLr.r not th.tof ly thrB. (31 cholc.. wlll bc ob.orv.d bv th. Otffca of th. Clty Cl.rk. - Aftordabla HourirB AdYLory ' Board membolt arr ltqulnd to ff1. Form 1 - "Slelemont of Fh.nclrl lntarl.f'wlth thc Strte,f tf you lctk Opdnhant to . pofes.lonel ..rt (c.g., la ry.r, rrrhlt ct otc.) on th. Bo.rd of Adlusttn.nt, O.Clgn R.vl.wBoard, Hlrtodc Prcrowdon Boerd or Phnnlng Board, tttach e copy of your currundy+{tdvcly llc.n.q .rid tur{th t tfollowlng lnfornetion: Typ. of P?oier.lon.l Lb.n..Llcan$ Numbrr Llconra llauanco Data Uccnro Erplrrdon Drtc Zp Code Pagc 1 o( 4F:lCtERtl\tLlaFoRlBtSOARoAl{O Corltt{ITTEES\8C APPLTAnO}t RB/ISEO 0al420l6.docr n Pado .nd R.crr.tlon Frcitlth! Borrd 6 133 € Not!:lfepplyingfortheYoutiiCcntorpositionrdtheParksandRaoralionsFacilitio!Board,Ccrrcindicetoyourtffiliatlonrvir'l thc Scott Rekow Youth Ccntcr and/or the Nonh Shor. Parts Youth Ccntcn o Plc88e delcrib€ your pasl seMco with the City's Youth CcntGru (includo dabs of reryics): . Proscnt psddpetion in Youth ccnter activiti$ by your chitdron: Ycs fl f.fo [f f ye3, pls6sc lirt balorv the namcs of your childrcn, thoir eges and h€ programs ln which h€y partiqpeto: Chlld's name: Child's nam6l Age: - Progrrm: Age: _ Program; . Havc tou ovsr b€en convidsd o{ a fclonyA or No lf yes, pl€aca c,elain in d6tail: . Do you drn€ntly have a vidation(c) ol City of Miami Berdr Codr? Yor fJ or ll& lf yce, plcerc explein in dstail . Do you cunontly owe the Cily of Miemi Bc€dt any moreyZ Vo E or Xo E It yc!, cxplah ln d.tail: o Are you cuncnfly orning on rny Cfrly Bo.rd or Corflmiucs? Yor El or xo fl tf yes, wrricfi board/commitLc? Herlth Advisory Bomnittee . ln wtEt organi2ation(8) in the City ol Mlami Bc.dr do you ctficntly hold mGmbcrship? Jione Porition . UBt all prop6ilc8 owned or ln whlch you hav6 an intcrBst wifiin th6 City of Miami Beach: I'lnnn . Arellou now employed by th€ Clty of Miami Bcacfi? Yrl f] or m El Whidl dopartmrnt and ttle? . Purtu.nt io clty cod! s.ctlon 2.2! (b[Qo you hev. . p.nnt E, .p*." f], drild f] brothcr El or drtx [l who ir omployed by the Clty of Miami Beach? Yr LJor lo UJ lf 'Y€s,' idatfy pc6on(.) and dcpfftnGnt(s): Th. followl4 infomr.Uon l. voluntrry.nd l. n.lthcr prrt of your.ppllc.tlon nor haa rny boring on your conrldcntlor forappol?Un.nt lt lt Hqg r.k d to comply wlth Clty dlvartlty rtportng rlqulrrm.ltr. Gender: Male lAl Fcmdc Rac.rEthnlc Crt goria. Whtt la vour rrca? ElAan-erncntaruaac*E CaucariantWhitcEleshn or Peqnc ldandorff n"titolr",'i""dAm6rlcrn lndtan P6e.2 of4F.EtEffiAtt\.FORlrglSOAnO $lO COIIiilITEE88C APPLICAIIOII RBnSEO oclaarlc.docr 134 E oficr - Prlnt Racc: oo you con.ldcr yourr.tfto ba sprnl.h, Hiaprnlc ot |''dnoL? Mail thc.No" box rno, spst Bh, Hisp,/tb,, LeilnatL. ElruoEv.t Do you consld.r you'lolf Phyllc.lly Ol.abl.d?Etrl T{OTE: IF APPOII{TED, YOU wlLL BE REQUIR,ED TO FOLLOW CERTAIN LAWS TI{AT APPLY TO CITY BOARO,COTTT?TEEMEMSERS. THESE LAWS I'TCLUDE, BUT ARE NOT LIIUUTEO TO:o Prohhition fron dirodly or indir€ctly lobbying Ctty p.rsonncl (Miaml Ecacfr City Cod6 ssdlon 2.159).o Prohbftim from contr.ding wilh lltr City (Mi.mi-O.d€ County Codc ardion 2-ti.1).o Prohititlon from lobbying bclorc tho bo.rdl€ommiltec you havc scrvcd on for porlod of ono yglr aicr lceving offce (Miami B€rctrCity Codc scction 2-26).o Reguirament to disclosc c€rtain financial interc$s snd gifu (Miami-oade County Codc Eec,Uon 2-t Ll).o Ctul6 Conmunty Dlvrlopm.nt Advlsory Committsc: pIohiHlion. dwing llnur..nd for onr ycar atlcr lreving olllc., ftom hlvhgany lntcnost in or rcceiving.ny bcncft ftom Cornmunity Dcrrclopmcnt Elocl Granl fund! ior q'thcr yourldf, or ih66 with wiromyou have burinmr orimm.dilt t mlly ti6r (CFR 670.6j1).o Sunshinc Law - Florida's GovEmmcntln thlsun3hinc La$/ was enldcd ln 1s67. Today, the Sunlhin€ L8ri, rcgardlng opongovemmcnl can bc found in Chaot€r 286 of thc Florid! Ststulas. Thclg daM.3 rsEblhh s bslic right of sccrsr to modmactittgs of boards, commi.lion. and othsr go\r.mlng bodlas of stste and locC gan cmmantd agarEa3 or authoritics.o Votng conllict - Fom 89 ia for usr by any pcrlon acrving al the county, c{ty or othrr locel l6vcl of gov€mmont on an appointad orolcdcd board, council, comrnitdon, .uthodty or committca. lt appllaE .qudty to mcmb.ri of adyilory snd norladvisory bodia! $,ho a.c pr6!€ntcd wlth e votlng conflict ot intGr.lt undcr Srclion 1 12.3143, Flortda Statu.s. Upon roquerq 6od6 of the.. l.ur m.y bc obhincd tlom thc Ctty Cl3rt. I HEREBY ATTEST TO THE YVILL ABIOE BY C}IAPTER CITYOFFICERS,STATUTES ADPllc.nt't ACCURACY Al'lO TRUTHFULTIIEIS OF THE APPUCATIOT{; AllO I HAVE RECETVED, REAO AID 2, ARTICLE VII, OF THE iIIAI'I BEACH CITY COOE ET{TITLED "ATANDAROS OF CONDUCT FOR ANO AOETICY MEMBERE A}ID ALL OTHER APPLICAELE COU}ITY ANO'OR STATE LAWE AND (zrl, Rccervodrnrheomccornecityocrl w, K.ffir#Fur/- tr#;gfit t \*:*/' z ATTACH A CURRENT RESUME, PHOTOGRAPH AND A COPY OF ANYAPPIICAETE PROFESS'OiJAL LICEiJSE. ATTACH ADDITIONAL SHEETS, !F NECESSARY, TO PROVIDE REQUIRED INFORMATION. Pagc 3 of 4Fr€LERritALUrfORUStsOARO AilD COtrtt{tTTEES\BC AppLtCATKril REVISEI' 06r4mlr,docx 135 MIAMI BEACH Clty of lrliomi Scoch 17@ Convcntion Ccnlcr Drivc, Miomi Baoch, Florido 33.l39, www.miomiboochf .gc! OFFICE OF Il{E C.[IY CIERK CityClerk@miom iboochff . gov Talcphona: 305.67 3.7 41 | Fox: 305.673.7254 Acknodcdgcmcnt of llno.rru.p.nalon ior Borrd/Commlfico tlombcn for fellurc to comply wt0t tlhti-Drdc Courty Fln.nchl DlrcloouE Codc Provlrlon Codc Scstlon 2-f 1.1(l) (2) Boerd tonrbcr'r Neme: l{ail Rabinowitz I underctand that no latsr then Julv l. ol orch vtrr all mcmbcrs of Boardr and Committcct of lhc City ot Miami Beach, induding those of a purcly edvlsory naturc, ere rcquircd to comply wlth Miami-Dade Coufi Financial Digclosure Rcquirementr. Thie mcane that thc rncmbs.s of City Advbory Boardt, wltosc rols orprimary rcaponsiUlity is to rccommcnd lcaiclation or givc rdvicc to the Clty Commlrslon, muat filc, arcn though th€y may have been rcoently appointcd. Onc of the following forms EglLlLfihg wlth the city Cl6fi of Miami Beach, 1700 Conventon Gentor Drlvo, Miami Beach, Florida, no letcrthan 12:00 noon of July l, of crch yrer. 1. A 'Source of lncorne Statemcnt' 2. A'Statement of Financial lnton3tB (Form 1)' 3. A Copy of your latcst Fcdenl lncome Tax Retum Fallure to fflc one of thesc forms, punuant to the Mlami-Dadc Comty Codc, may aubjcct thc pcraon to a lins of no rnore than 9500,h jall or both. t&ddd Turedfy, ocbbs Or, 2016 Pagc 4of {F:rcLEFr$[tr.FORMSl8OAn0 ArO Coi,UfiEESrBC AppuCATtOit RE\ |lEo oc(ort.do.r 136 MARK LAWRENCE RABINOWITZ, M.D., F.A.C.O.G. 11645 Biscayne Boulevard' Suite 30E Miami, Florida 3318I Phone: 305-424-5535 Fax: 30$69$2189 MEDICAL EDUCATION University of Miami School of Medicine, Miami, Florida M.D. Degree received June 1979 Medical License: Florida (Issued July I, 1980) ME0036822 WORK EXPERIENCE Chief Executive Officer: Miami Beach Community Health Center Chief Medical Officer: Miami Beach Community Health Center Adjunct Clinical Faculty, Barry University Clinical Instructor, Florida International Universiry Assistant Clinical Professor, Nova Southeastern University Clinical Instructor: University of Miami School of Medicine Private Medical Practice, Bay Harbor Islands, Florida Vice Chairman: Department of OB/GYN Miami Heart Institute Member: Credentials Committee: Miami Heart lnstitute Volunteer Physician: Stanley C. Meyers Community Health Center, Miami Beach Volunteer Physician: HRS Health Clinic, South Miami Branch Chairman: Credentials Committee, Miami Beach Community Hospital/St. Francis Hospital, Miami Beach Co-Chairman: Department of Obstetrics and Gynecology, St. Francis Hospital, Miami Beach Co-Medical Director and Developer: Shared Birth Place/Ivliami Heart lnstitute Intern and Resident: Jackson Memorial HospitaVUniversity of Miami Hospitals Research Technician: University of Miami, Biochemistry Department SOCIETY MEMBERSHIP National Association of Community Health Centers William A. Little Society Florida Obstetrical and Gynecological Society American College of Obstetrics and Gynecology (Cenification l2185, 12199 & 12100) Dade County Medical Association (Public Service Committee 1987 - 1989) Florida Medical Association American Association of Gynecologic Laparoscopists American Fertility Society Miami Obstetrical and Gynecological Society American Medical Association 5/2012-Present 2003 - Present 2011-2012 2009-Present 2008-Present 1983 -2003 1983 - 2003 1996 - 1997 1993 - 1997 t993 - t994 1992 - 1993 1992 * 1993 t99l - 1992 1987 - 1996 r979 - l9E3 t9'14 - 1976 1975 - 1979 2003-Present I 983-Present I 983-Present I 983-Present 1987-2000 1987-2000 1987-Present I 979-Present PUBLICATIONS Marshall JJ, Rabinowitz ML, Modification of the Properties of Trypsin by Covalent Attachment to Dextran. Arch Biochem Biophys 1976. Marshall JJ, Rabinowitz ML, Stabilization of Catalase by Covalent Attachment to Dextran. Arch Biochem Biophys 1976. Rabinowiz ML, Throat Swabbing in Epiglottitus (Letter). JAMA 1978. Marshall JJ, Rabinowitz, ML, Preparation and Characterization of a Dexffan-Trypsin Conjugate. J Biol Chem l98l. Rabinowitz ML, Basson I, Robinson MJ. Sexually Transmitted Cyomegalovirus Proctitis in a Woman: A Case Report. Arn J of Gastroenterology 1988. Rabinowitz ML, Gilibert JE, Lenes BE. Avoiding Blood Transfusion: A Report of Two Cases. J. Rep Med l990. 137 11645 BEeyn. Boul.mrd, Suitc 207 North Mhml, FL 33181 305.5it8.8835 305.892.6625 F.xm.mbchc.oE loAnDo;ftcEis Mttch.ll Rublrcon, Chllr Th.rcs!Glbb, Vlc! Ch.lrtlyrl.m Notkin,Sccrrt ry ' D.vld chrmbcdrln, CLU ChFg Tmsurcr !(UND OF DIRECIOIS M.Mn D.utsch Irc .,uda. Drvld M.6.RtCnBlrb.lt Llmb.G EAhvtd M.sy, E!q.D.nls Nmck 8.wrly J. P.nz.ll S. Ywnm Srlnt Gcnrd ADI'6ORY COIIIIITIEE Jana Da. GrcrsMomGmn$ulGN, Etq,Andw bplrn, CPA, CFFA Jcffrcy Mendcll&mld Nottln, EXECT'IIYE StrAf; M..tL R.Unowltr, MD, F @G Chl.f Bccuthr Off,sr Chl.f M.dlol Off,€r hbontory tr,Hlcrl DlGtor Sorl1I3ly MGn lv.r, RN, MSN Chlcf Opcnung Ofrlor Chlcf of P.tl.nt S.illcs Jrm$ B. P.tk t CPA ChLf Flmnchl Offlc.r D.nnls Crdlz Chhf lnfomUon Offierlnt dmcomdhmOffrer locanot{s Strnhy C t ty.B Hcllth CGnt"r TlOAlton Rod Mhml B0ch, FL 331.:19 B.Edy Pros Holth C.rt r1221-Tlrstrat Mllml B..ch, Fl3141 Mllml B.$h Community Holth C.nt r North 11645 Blsyn. Boula!,rrd North Ml.ml, F[ 33181 |anuary 7,20L9 Rafael E. Granado, Esq., City Clerk Office of The City Clerk City of Miami Beach 1700 Convention Center Drive, Miami Beach, FL 33139 Dear Ms. Granado, This is to advise that Mark Rabinowitz, MD, in his capacity as Chief Executive Officer, and Sorangely Menjivar, Chief Operating Officer, in her capacity as a health benefits provider, represent Miami Beach Community Health Center on the Health Advisory Committee. Sincerely, Trudg ?otl+etz Trudy M. Pacheco, MBA Director of Grant and Project Development Executive Assistant to the Chief Executive Officer ?w'x(mmffi(D 138 139 THIS PAGE INTENTIONALLY LEFT BLANK 140 Sorangely Menjivar 141 THIS PAGE INTENTIONALLY LEFT BLANK 142 Menjivar Sorangely Last Narne 14801 North Spur Drive First Name Miami FL MidCle lnitial 33161 Homs AddrEss City305-949-3911 305-538-8835 30s-992-2241 State Zip Code sorangelym@mbchc.com Horne Telephone Work Telephorn Cellular Telephone Miarni Beach Community Health Center Email address Registered Nurse Busfrregg Name710 Alton Road Occupation Miami Beach FL 33139 Busine3s MdrBss Profcssional Licerse (describe):Registered Nurse City State Zlp Code Expires: 413012019 Please attach a copy of e srre nlly effeet-h/e oi"ofee sloaal ,ic6nse. Purcuant to Clty Codo ascflon 2-2441a & b: Member6 of agencies, boards and committees shall be affiliated wifi the City. This requirement shall be fullillad in the folloring ways: a. An indMdualehall have been a resident of the Clty fora minimurn of six months; or b. An individual shall demonstrale ownership/inlerest for a minimum cf six months in a businEss established in the City for a minimum o six monlhs. e Resident of Miami Beach for a minimum of six (6) monttrs:Yos F*io, Xo#r Demonetrates ownership/inlerest in a busincss in Miami Beach for a minimum cf six months: yec fS or Xo E.r Are you a registeM wter in MiamiBeach: VcaE or Ho E o I am now a reeident of: ilorth Beech D South Baach fl Uiaalt gc!66 fJr I am applying for an appointment because I have rpecial abililies, knowledge and experience. Please lbt belottr I em tha C.hief Opreraflng Off,r.er at Mlaml Rpanh Carnmrrnlfy l-{oalth Center I hava 18 yparq nf exp?riPnco in haalth,.are, . Are you presently a reglsterad lobbylst wnh the City of Mhmi Beactr? Vcs [f, or fo E Please list your preferences in order of ranking [1] firsl choice [2] second choica, and [tl third chobe. Ploase noto th.t onlv thma (3) cholca wlll be oberryod bv tho Offbr of thr Cltv Clerk. tr Afiodabh Houelng A6645qy Committee , ill{ealh Advbory Commltbe D Parh end Recreethn Fecilliea Board '; tr Aft in Publlc PlEcEs CorunlthG EJF'l6a[h F*llnts Authortlv Borrd D Pa.lonnol Board D ArdltCorflmift-O Hhmnlc AlTelrr Canmllten tr Plennlno Boerd'? :l Borrd of Artilltmdrt '*T PdidCilimm RelrtloG Cmmllieef BudoetAdrlmilCommruee o Hollslno Adtbrltv C Produ(ilon lndtl3t,v Councilf coffiniltteon lha HomaLas B Hunsn RidhE Conrmlilee n Shter CHe3 Prooram 0 corm@r6quany EEutrllo!!!! !4E E LGBTAdvbory Cqnmiter n SurlrihrtYl ttv CommHeG B Convention Cent rAdvlsory Boed E Madn€ & Wa6rftont Prcbdion Alhority Ifyfransportdion, Partltg, & Birycle-Psdeelrian Faclfrlar Cmmlha l-l Culhrml Artr CamJl n Ui.ni Aar* ^ffii.6h^ he li/ms f Vlsitor ard ConriEntion Aulhority O O€slgn RB{.rv Bo€rdfi E Nomandy thores Local GovernmentN.l.hh^rfiffr{ l6^rhEmd D Youth CommFlion 0 Db.UlltY Accrss Commltlae ' Bo.rd m.mb.r arr rqul]cd to frb Form t - "strbmont of Flnrnchl lnbrt.f'wlttr th. strb.f lt you mrk eppolntmrnt to e proftarlonel sert (o.g., lewyrr, rrchltcct, .lc.) on tfie Eoerd of Adlutment, Dcelgn RevlcwBott{, tlbtodc Ptrtorvlllon Borrd or Plrnnlng Borrd, rtlrch r copy of yout currrntly+lfcc0voly llctnto, rnd hrnhh thc followlng lnfornrdon: Type of Prufr*lonal Llc.n.. ilumb.r Lbenr. lrsurnco Drte Uccrtc Erplntlon Drtr C:\l,JrcnlC LERQnR\D.*@\BC APPI-lCATON.dq Pag€ 1 of4 143 'd' No!a: lf apdyitE br the Youth Cenbr pooitions of the Parkg and Rccrsaiionc Facilitiec Board. please indicab your aff liadon withtp Scott RakowYouth Centarand/orthe North Shom Parks Youth Center: . Please describe your past servic€ with the City's Youth Centers (include dates of sorvioe) . Ppsent participaUon in Youth Center adivitiee by your drildon: Vcs ff No [J lf yes, plaaaa lllt bolor', ths narnes of your ahildren, their ages and th6 progmrns ln which tfiey partlcipete: Chikj'g name: Child's nams: r Harla you ever b6on convicted of a fulony? Yer lf yes, please erplain in detail; Age. _ Program: Aga: _ Program: . o: *u o'rnorilly have:::"*-1, :t."::r*i Beadr code? v* flf ,, xJEl rrves, deare eprain in detair: . Do you cunpnty oyr,€ the City of Mbmi Beactr .n, ,or*r, ,- m " -, ff lf yes, ophin " O*u' r Are you cuntntly leMng on any City Board or Committcc? Vcr E o, 6 f,I lf yee , which board/cornmlttce? . ln f,,hat orgsnlzsdm(s) ln the Clty of Mlaml Baadt do you cunenfy hOld membcnhlp? Name Position o Lict all propedcs owrud or ln yvhloh you have an inbrutwi0rin the Crty of Miarni Ecach: r Ale yq, rcw employed by thE city of Miami aoect z;erm o, Xo E Wtidr depsrfnent and tiUa? o Purgurnl to Ctty Codr Socdon 2-u lblt Do you have a par€nt [], .por." f-] ctiro [-f 0.t", E or dscr fJ who ir employed by the Cig of Miaml Beach? yor f,lorrc EI lf "Yes,' idsntify per8on(s) and deparfncnds): Th. iollowlne lnlormrllon b voluntrry rnd b n.llhcr prn oil your rpplcrUon nor her rny b.rrlng on trour comld.rrtlon forrppolntncnt lt h bclng rrkcd to comply wlilr Glty dlnnlty opordng ruqulnmentr.6;;; ,u";tri-F.*";E - RrcdEthnlc Cfigorlcr WInt byourncr?El errronrrrrrtcarvBtad(EI caucarianlwhfteE n"i"n or Pacifc lrlender E*? r.r**o+.cdcan/Arnerlcan lndian C:\utoltEl-EROurR\Diao9\8C APPLICATION.da Page 2 ol 4 144 f,l omr- PrhtRace: Do you conal(br youE.lt to ba Sprnhh, Hbprnh or Lrunorr? Mad< th6 "No" box if nat SpenrsA Hisos,ntc, Latlnila. Do you conrldcr younelf Ptryrlca[y Dlc.blcd? NOTE: lF APPOIIIITED, YOt W|LL BE REqrnED TO FOLLOW CERTAII{ LA}YE T}IAT APPLY TO CIfY BOARDICOIIITIEEf,EIBERS. fiESE USA IilCLUDE, BUT ARE I{OT UTI]TED TO: Prohibition frorn direc{y or andirecty lobbying City penonrrl (Miami Beach City Coda seclion 2-d59). ProhiUtion frorn confacllng with the CiU (Mlami-Dade County Cods goction 2-11.1). Prohitation hcn lobbgng bebto the board/commitbe you have serued on ior period of one year after leaving offico (Miami Beacft Ciiy Code s3dion 2-26). R€quirornent to diaclcse certain financial intersstr and gifto (Miami-Dadc Gounty Code scction 2-11.1). CMB Community Deyeloprnent Advisory Commitbe: prohibition, during bnurs End br one yBar afrer leeving ofics. fom havlrE any intereat in or receiving any bcneflt from Canrmunity De\€lopment Bloc* Gnant funde for either yourself, or thoee wih u,hom you har/E h.l3heec or imrnediaE femlty Ue3 (CFR 670.61 1).Sunrhins Law - Florkla'c Gorommentin-th+Sunchine Levy war enrcted in 1987. Todry, the Sun:hinc Lew cgrding open govemment can be bwd in ChaElior 2qP of the Florida Statutaa. These stahJbc establiah a basic right of a@e8s to most meetings ol boads, commisEions end other govBming bodiee of steb and local gowmmenlel egenci* or authorlticr.Vdng conllict - Form 8B b for usa by any pcruon lcMng at thc county, crty or other local leyel of gowmmant on an appointed ordefrd board, councrl, commission, euthority or cornmittee. lt appliea equally to membena of advisory and non-adMrory bodiee who ar€ pre:enbd wi$ a vofng confld o, mcrud uncbr Scc'tion t 12.3143. Florlda SEtricr. Upon rogu.ot copisr ol tlsso lawr may tro obEtnad trom the Ctty Chrh. I HEREBY ATTEST TO THE ACCURACY AND TRUTHFULNESS OF THE APPUCATIOI; AilD I HAVE RECEMED, RE D AtlD UYILL ABIDE BY CHAPTER 2, ARTICLE VII, OF T}IE Tf,lAtrI BEACH CrrY CODE, EiTNTLED "gTAIIDARDS OF COilDUgT FOR CITY OFFIGERS, Ef,PIOYEES AI{D AGENCY TEIIBER8 AND ALL OTHER APPLICABLE COUNTY AND'OR STATE LA}YS A}ID 5or l1e"[uar Reodwd in thc Offcc of thc City Clcrk by:k-t i)W, Nem6 of Deuty Clerk Control No. ATTACH A CURRENT RESUIIIE, PHOTOGRAPH AND A COPY OF ANY APPLICABLE PROFESSIONAL LICENSE. ATTACH ADDITIONAL SHEETS, IF NECESSARY, TO PROVIDE REQUIRED INFORilIATION. ENoffiy". K! uoEv* C:ll,mnE LERO|pR\O€skbp\8C APPtlCAf lON.docx Pags 3 of 4 145 Glty of tlbml Scoch l70O Convenlion Ccnter Drivc, Miomi Bcoch, Florido 33 139, www. mio mibaochfl.oov OTFICE OF THE CITY CTERK CilClerk€rn iomi bcochfl . gov Telcphonc: 305.673.7 41 I Fox 305.673.7254 Acknowledgement of flnelrsu.penslon lor Boerd/Commltlee tlemben lor falluro to comply wtth Ultml- Dade County Financlal Dlsclosure Code Provicion Code Sectlon 2-{l.f (l) (2} Board Member's Name: 3Of'Au H ortt ia "r- I understand that no later than July l. of each vear all members of Boards and Committees of the Cry of Miami Beach, including those of a purely advisory nature, are required to comply wilh Miami-Dade County Financial Disclosure Requiremenb, Thls means that the members of City Advlsory Boards, whose sole orprimary responaibility is to recomrnend legislation or give advkx to the City Commission, must file, even though they may have been recently appointed. One of the followlng forms must be fllgd wlth the City Clerk of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida, no later than 12:00 noon of July l, of each year. 1. A 'Source of lncome Statement' 2, A'Statement of Financial lnterests (Form 1)" 3. A Copy of your latest Federal lncome Tax Return Fallure to flle one of thes€ forme, pursuant to the Miami-Dade County Gode, may subject the person to a fine of no more than $500, 60 days in jail or both. Updatod: Thuldry, Dec*nbs 22, 2018 C:UrlsnELEROucR\Ddkbp\BC APPUCATION.docx Page 4 ol 4 146 Sonnrucelv MENJTvAR, RN, MSN, LHRM 14801 N. Spur Drive lMiami, FL 33131c (3o5) g+g-lg'nl x: $05) gg2-zz41l menjifamS:@,msn,com SeNron-Levet Execunve: Nunsrxc, PnneNt CenE, AND Henlrxcang Opennnous NursingTeam Lcadershlp I Flnanclal and GrantManagement I Patlent Care and Services Executive healthcare leader with over 15 years of experience in all facets of nursing, patient care, financial management, and staff training and development within high-profile community health organizations. Skilled in collaborating with all healthcare personnel and management to achieve patient care and financial objectives.lnstrumental in streamlining and improving processes, enhancing morale, and implementing safe nursing policies and procedures. Adept at overcoming challenges and taking on greater responslbility ln nursing and admlnlstratlve management roles, utilizlng depth of expertlse to make a positive difference in the lives of employees and patients. Detailed knowledge and experience with NCQA and Joint Commission Standards.. Nursing Management . Healthcare Management . Grants Managementr Nurse Mentorship/ Training t Budget Development and Oversight r Data Analysls/Researchr Staff Recruitment . Patient Centered Medical Home Standards . Bilingual: English, Spanish. Detail-Oriented/ Eye for Accuracy . Microsoft Office Suite& lntergy EHR PRoFEssroNlt Expenr eHCr MIAMIBEAC}I COMMUNITY HEALTH CENTER, Miami, FL Chlef Operatlng Wcet (2015 - Present) Responsible for managlng the daily operatlons of the health center to ensure admlnlstratlve servlces are provided in alignment with organizational objectives. Provide leadership and overslght of administrative areas and supporting operations. Oversee and monitorthe development and implementation of the quality improvement/risk management program. Ensure that all health center facilities are maintained to meet security, safety, and quality standards. Ensure timely submission of grant proposals. Senior Executlve Vlce-Presldent of Patlent Servlces (zoo7 - Present) Direct nursing staffand oversee daily operations, including oversight and leadershipof six sites and ensuring the patient care delivery model is followed. Managebudget preparation and grant reports. ln charge ofthe Joint Commission accreditation process, OSHA compliance, and infection control activities. Develop, implement, and monitor Nursing Department policies and procedures. Manage support departrnents: Healthy Steps, Prenatal, Patient Support, Appointments, Referrals, TQM, and Environment of Care.. Managed the nursing and patient activities of six Joint Commission accredited centers. Assisted in the implementation of new electronic health record system, converting from paper to electronic health records.r Presented "Taking Healthy Steps in the Right Direction" at the annual Children's Mental Health Conference, May 2008 Director of Nurslng (zoo5 - zooT) Oversaw and managed the entire Nursing department within the community health center, Developed and implemented department budgets and reports. Collaborated with providers to facilitate exemplary patient care.. Received Employee of the Month in April, zooo. Presented "Changing Practices, Changing Lives" and "Obstacles and Success ofthe Asthma Team" at the annual Collaborative Summit in Orlando, FL ln 2oo5. lmplemented Healthy Steps an evidence-based practice program for children o-3 years Nurse Manager (zooj - zoo4) Supervised and implemented all patient care related activities foftanley C. Myers site.Directed and managed a nursing staffof five nurses and to medical assistantsensuring all nursing policies and procedures were followed.Coordinated team schedules and patlent care. Additional experience includes roles os a Medlcall lntake Asslstant for Stanley C. Myers Community Heolth Center in Miami Beoch, FL and o Medical Asslstantl Phlebotomy Technlclan for Optima Medicol Group in Miami, FL. AFFtLtATtoNs/ lHousrnv AssocrATroNs Member of the Florida Nurses Association I Member of Florida tusociation of Public Health Nurses I Member of the Florida Association of Communlty Health Centers I Member of the National Assoclatlon of Communlty Health Centers Chair of Miami Beach Community Health Center Patient Care and Safety Committee EoucarroH & CneoeNrrlLs Bachelor ln Sclence and Master ln Sclence (Focus: Leadership & Management), Nurslng,Regis University, Denver, CO Assoclate in Sclence, Nurslng, Miami Dade College, Miami, FL HealthCare Rlsk Manager Certlflcate, Flodda Rlsk Management lnstltute, Fort Lauderdale, FL Medlcal Asslstant Certlflcate and Phlebotomy Technlclan Certlflcatlon, Concorde College, Miami, FL Certiflcatlons: State of Florlda Actlve Reglstered Nurse, Florlda Llcensed Healtfrcare Rlsk Manager, Baslc Life Suppoft, and Phlebotomy Technlclan 147 11815 Bisoyrc Bodsd, SuitG 2()7 North Mhml, Ft 33181 305.538a835 !to5.892.6,62!i F.rw.mbdrc.orS loAnoo;rtcEns Mttch.ll RublM, ChelrTh.lu Glbb, vlo ch.lriM.mNotkl0S.crct ry Da,ld Ch.mbcrLln, CLU, ChfC,Tlturcr I('AND OF DIiEC()iS M.Mn D.uBch, Dc Jud3. D.t ld M. GGEtcnB.rbrn [.mb.B EA D.Yld MGEy, Esq. DGnisG NmckB.ErVr. P.u.ll S. Yrcnrc S.int G.nrd ADVEOITCOMf,ITIEE J.mDccGffiMomGmn Slul 6rosr, Esq. Andrw hphn, CPA CFFAhffrcyMudcll Armld Nottln, Boald Mcmbar EmcrttE EXECUIIVE SIAIF M.rk L R.bllwlt2, MD, FACOG Chlcf E(GcuthE Offler Chlcf Mcdical Offlcr Lrbontory MGdlol Dlrcctor Sor.nfFly Mrnjlwr, RN, MsN Chl.f Op.Edng Offlcr Chl.f of P.u.nt s.ruiCs hm.s B. P.tk r CPA Chl.f Fln ncill Offi@r D.nnls c.diz Chl.f lnformtlon Offl c.r lntarlm Compll.m Offler toc [ot{s St nLyC ttyGB H.rlth Ccntrr TloAlton Rild Ml.ml B..ch, Ft 33139 BaErly Prcs flclhh Ccntcr 1221- 71*Strct Ml.ml B..ch, FL 33141 Mhml 8!!ch Communwtl.rhh Clnt r North1lets Bisyn. Eoulmrd North Ml.mi, FL 3181 |anuary 7,20L9 Rafael E. Granado, Esq, City Clerk Office of The City Clerk City of Miami Beach 1700 Convention Center Drive, Miami Beach, FL 33139 Dear Ms. Granado, This is to advise that Mark Rabinowitz, MD, in his capacity as Chief Executive Offrcer, and Sorangely Menjivar, Chief Operating Officer, in her capacity as a health benefits provider, represent Miami Beach Community Health Center on the Health Advisory Committee. Sincerely, Trv+dg ?otl,ttz Trudy M. Pacheco, MBA Director of Grant and Project Development Executive Assistant to the Chief Executive Officer ,ffi&m 148 149 THIS PAGE INTENTIONALLY LEFT BLANK 150 Scott A. Needelman 151 THIS PAGE INTENTIONALLY LEFT BLANK 152 E MIAMIBEACH NAME: Needelman CITY OF MIAMI BEACH BOARD AND COMMITTEE APPLICATION FORM Scott Last Name HOUE ADDRESS: 1455 Drexel Avenue #1 First Name Mlami Beach Middle lnitial FL Apt No. Horne No.lStreet PHONE: 30$710-5584 305673-1463 NrA City State Zip Code sanl455@att.net Home Business Name: sAN Develoonrenl. lnc. Work Fax position: Presldent Email Address Address: 1455 Drexel Avenue #l Mlaml Beach FL 33139 Street State Zip Code Purcuant to City Gode sectlon 2-212141a and b: Members of agencies, boards, and eommittees shall be affiliated with the city; this requirement shall be fulfilled in the following wa)rs: a) an individual shall have been a resident of the city for a minimum of six months; or b) an individual shall demonstrate orvnershi/interest for a minimum of six months in a business established in the city. o Resident of Miami Beach for a minimum of six (6) months Yes o Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: Yes o Are you a registered voter in Miami Beach: Yes o (Please cirde one): I am nour a resident of South Beach o I am applying for an appointment because I have special abilities, knowledge and experience. Please list below: Historic bulldlng renovation. o Are you presently a registered lobbyist with the City of Miami Beach? No Please list your preferences in order of ranking [1] first ctroice [2] second choice, and [3] hird choice. Please note that only three (3] cholces wlll be obsarved by the Clty Clert's Office. (Regular Boards of City) Choice 1: Historic Preservation Board Choice 2: Gholce 3: Note: lf applying for Youth Advisory Board, please indicate your affiliation with the Scott Rakow Youth Center: 1 . Past service on the Youth Center Advisory Board: po years of Service: 2. Present participation in Youth Center activities by your children No lf yes, please llst the names of your chlldren, thelr ages, and which programs. List below: o Have you ever been convicted of a felony: No lf yes, please explain in detail: City r Do you cunently have a violation(s) of City of Miami Beach odes: No lf yes, please explain in detail: o Do you cunently owe the City of Miami Beach any money: l{o lf yes, please explain in detail: o Are you ornenfly serving on any City Boards or Committees: No lf yes, whicfr board? o What organizations in the City of Miami Beach do you cunently hold membership in? Name Tifle Flamingo Park Neighborhood Association Director o List all properties owned or have an interest in, whictr are located within the City of Miami Beach: 153 Property 4r'.Ol4601Sth Street, 1455 DrexelAve o I am now employed by the clty of Mlaml Beach: No Whlch departnent? The followlng lrforma$on is voluntary and lr nelther part of your appllcatlon nor has any bearing on your conslderatlon for appoirtmcnt lt Isbelng asked to comply wlth federal equal opportunlty rcpordng reqult€ments. Gender: Male Race/Ethnic CategoriesWhat ls your racc? Mark one or more races to indicate what you consider yourself to be. White Other Description: Are you Spanish/Hispanic/ Latino? Mark the "No" box if not Spanish / Hispanic / Latino. No PhysicallyChallenged: No NOTE: lf appointed, you wlll be requlred to follow certaln laws whlch apply to clty board/commlttee memberc. These lawe lnclude, but are not Ilmlted to, the followlng: o Prohibition from directly or indirectly lobbying city personnel (Miami Beach City Code section 2-459).o Prohibition from mntracling with the city (Miami-Dade County Code section 2-'l'l .11.o Prohibition from lobbying before board/commitbe you have served on for period of one year after leaving offce (Miami Beach Code sedion 2-26).o Requirernent to disdose certain financial interests and gifts (Miami-Dade County Code se+tion 2-11.'ll. (re: CMB Community Development Mvisory Commitee): prohitrition, durirB tenure and lor one year after leaving ofrice, frorn having any int*est in or reeiving any beneft from Community Development Block Grant funds fur either yourself, or those wlth whom you have business or lmmedlate famlly tles (CFR 570.61 1 ). Upon request, copies of these laws may bo obtalned from the Clty Clerk. "l hereby dtest to the accuracy and truthfulness of the appllcatlon and have received, read and wlll ablde by Chapter 2, ArtlcleVll - of the Clty Code "Standards of Conduct for Clty Off,ces, Employees and Agency Hembers." I Scott Needelman agreed to the followlng terms on 121712014 9:37:00 PM Received in the City Clerk's Office by: Name of Deputy Clerk Control No.Date 154 Scott Needelman 1455 Drexel Avenue #l Miami Beach, Florida 33139 305-71 0-5584 Educrtion Bachelor of Science, Civil Engineering, May 1993 Florida State Univers ity, Tal lahassee, Florida Graduated, Miami Beach Senior High School, June 1988 Committees/Activities Director, Flamingo Park Neighborhood Association, August 2014-present; Member. January 2009-August 2014 Member, Debarment Committee, City of Miami Beach January 2009-December 201 0 Member, General Obligation Bond Oversight Comminee City of Miami Beach, March 2003-April 200E Member, Eleventh Judicial Circuit Grieyance Committee A State of Florid4 February 200 l -January 2004 Member, Safety Comminee. City of Miami Beach J anuary 2002-December 2002 Member, Planning Board, City of Miarni Beach January 20O0-December 200 I Graduate. Miami Beach Citizens Police Academy November 2000 Member, Community Development Advisory Comminee City of Miami Beach, January 1998-December 1999 Work Experience President, SAN Development, Inc.. September 2002-present Completed constnrction of a 2700 sq. ft, home. Property Manager, York Towers Apartments. May 1993-present Responsible for the day+o-day operation of 24 apartment units and fow commercial spaces. Assistant Project Manager, Fisher Island Holdings, LLC, January 2005-May 200E Managed the subminal and RFI proccsses for the construction of a l0 story luxury condominium building and oversaw various other small construction projects. Project Supervisor, Carmel at California Club Property Owners Association, September 2001 -December 200 I Oversaw the repairs to 34 condominium buildings due to flooding. Project / Construction Manager, York Towers Apartments February 1995-August 2000 Conceived and executed the substantial renovation of three historic multi-family buildings, approx. I E,Ofi) sq. fl. Oversaw, on a daily basis, the various subcontractors ftorn concepr to completion of projects. Certilications Certified Building Contractor, State of Florida Engineer lntem, State of F'lorida 155 kw STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD1940 NORTH MONROE STREETTALLAHASSEEFL 32399-0783 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Deparlment of Business andProfessional Regulation. Our professionals and businesses rangefrom arcfirtects lo yachl brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order loserve you better. For information aboul our servioes, please log onlowwv.myfloridalicenre.com. There you can find more informationabout our divisions and the regulalions that impad you, subscribeto department newsletlers and learn more aboul the Deparlment'sinitiaiives. Our mission at the Department is: License Efficiently, Regulale Fairly.We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida,and congratulations on your new license! NEEDELMAN, SCOTTALANSAN DEVELOPMENT INC1455 DREXEL AVENUE #1MIAMI BEACH FL 33139 RICK SCOTT. GOVERNOR DETACH HERE STATE OF FLORIDA DEPARTMENT OF BUgINESS AND PROFESSIONAL REGULATIONCONSTRUCTION II{DUSTRY LICENSING BOARD (850) 487-139s STATE OF FLORIDA DEPARTMENT OF BUSINESS ANDPROFESSIONAL REGULATION c8c1250381 ISSUED; OBllO|?AM CERTIFIED BUILOING CONTRACTORNEEDELMAN. SCOTTAISN SAN DEVELOPMET{T INC lS CERTIFIEO under the provisrons of Ch 489 FS Erp'rairon dara AUG 31. 2016 11408100001923 KEN LAWSON, SECRETARY cBc1250381 The BUILDING CONTRACTORNarned below lS CERTIFIEDUnder the provisions of Chapter 489 FS.Expiration date: AUG 31, 2016 NEEDELMAN. SCOTTALANSAN DEVELOPMENT INC1455 DREXELAVENUE*1MIAMI BEACH FL33139 ISSUED: 08i10/2014 DISPLAYAS REOUIRED BY LAW sEo # 11408100001923156 tilqfrnnffitfirilTIT:ilffiffig$ffiHfiEEF$ffHtrH$fi t11*il#EEt** HEtrH,#wNT*fii*H UHflI tl.lIIH.IE&rFITasI Hffi*ififfiffitrttrruxf,ffiG3ilH**frry*tIr*lt#ililr157 THIS PAGE INTENTIONALLY LEFT BLANK 158 Kirk Paskal 159 THIS PAGE INTENTIONALLY LEFT BLANK 160 g MIAMIBEACH NAME: Paskal CITYOF XIIAITI BEACH BOARD AND COTiI|ITTEE APPLICATION FORiI Kirk Last Name HOiIE ADDRESS: ZgtS Crsepi Boulevard First Name Miami Beach Middle lnitial FL 331'lt Apt No. Home No./Street PHONE: 305469'2413 954'563 t'11'l City State Zip Code KPaskal@gmail.com Home Work Business Name: Yunter Music Gonference, !nc, position: Direclor of operations Address: 3450 NE 12th Terrace Ft. Lauderdale FL Email Address Stroet State Zip Code Pursuant to City Codc scction 2-22111a and b: Members of agencies, boards, and committees shall be affiliated with the city; this requirement shall be fulfilled in the lollowing ways: a) an individual shall have been a resident of the city for a minimum ol six months; or b) an individual shall demonstrate ownership/interest for a minimum of six months in a business established in the city. o Resident of Miami Beach for a minimum of six (6) months Yee r Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: No o Are you a registered voter in Miami Beach: Yes o (Please circle one): I am now a resident of: North Beach o I am applying for an appointment because I have special abilities, knowledge and experience. Please list below: North Beach Mastcr Plan StcGring Committec, Commlttee Member o Are you presently a registered lobbyist with the City of Miami Beach? No Please list your preferences in order of ranking ['l] first choice [2] second choice, and [3] third choice. Please notc that only three (3)choices will be observed by the City Clerk's Offlce. (Regular Boards of City) Choice 1: Historic Preservation Board Gholce 2: Planning Board Choice 3: Design Review Board Note: lf applying for Youth Advisory Board, please indicate your affiliation with the Scott Rakow Youth Center: 1. Past service on the Youth Center Advisory Board: po years of Service: 2. Present participation in Youlh Center activities by your children No if yes, please list the names of your children, their ages, and which programs. List below: o Have you ever been convicted of a felony: No lf yes, please explain in detail: City o Do you currently have a violation(s) of City of Miami Beach codes: No lf yes, please explain in detail: o Do you currently owe lhe City of Miami Beach any money: No Ityes, please explain in detail: . Are you currently serving on any City Boards or Committees: No o What organizations in the City of Miami Beach do you currently hold membership in? lf yes, which board? 161 Name Title Miarni Beach United Board Member North Shore Historic District Neighborhood President Association North Beach Neighbors Alliance Steering Committee Member o List all properties owned or have an interest in, which are located within the City of Miami Beach: Property 7915 Crespi Boulevard, Miami Beach, FL 33141 o I am now employed by the city of Miami Beach: No Which department? The following information is voluntary and is neather part ot your application nor has any bearing on your conllderaton tor appolntment. It lt being arked to comply with federal equal opportunity reportlng requirementc. Gender: Male Race/Ethnic GategoriesWhat is your race? Mark one or mor,e races to indicate what you consider yourself to be. White Other Description: Are you Spanish/Hispanic/ Latino? Mark the "No" box if not Spanish / Hispanic / Latino. No PhysicatlyChallenged: No i{OTE: lf appolnted, you will be requlred to follow cerlaln law! whhh apply to clry board/commltiee members.There lawr lnclude, but are not llmltod to, thc followlng: o Prohibition from diroctly or inclirectly lobbying city personnel (Miami Beach City Code section 2-459).o Prohibition from contracting with the city (Miami-Dade County Code eeclion 2-1 1 .1).o Prohibition from lobbying befor6 board/committeo you have served on for period of one y€ar after leaving office (Miaml Beach Code section 2-26).o Requirement to disclose certain financial interesls and gifts (Miami-Dade County Code section 2-l 1.'l ).(re: CMB Community Development Advisory Committee): prohibition, during tenure and for one year after leaving office,fom having any interest in or receiving any benefit from Community Development Block Grant funds for either yourself, or those with whom you have business or immediale family ties (CFR 570.611). Upon requert, coplet of there laws may be ob,talncd from the Clty Clerk. "l hereby att6t to tho accuraca and trutlrfulno3! ot th6 appllcatlon and have received, read and wlll abldo by Chapter 2, ArtlcleVll - of the Clty Code "Standardt of Conduct for Clty Offlcerc, Employeer and Agency iiembers." I Klrk Paskal agreed to the followlng terns on 1011212016 6:24:43 Plt Received in the City ClerlCs Ofice by: Name of Deputy Clerk ControlNo. 162 Kirk Paskal 7915 Crespi Boulevard Miami Beach, FL 33141 Phone: 305-469-2413 Email : KPaskal@grnail.com Experience l{orth Beach Master Plan Steering Committee, Miami Beach, FL January 2016 - September 2015 Appolnted by the Mayor to serve on the Steering Committee for the North Beach Master Plan. During my time on the Committee, I was recommended by my fellow members to serve as the North Beach representative on the Miami Beach Historic Preservation 8oard. Miami Beach United, Miami Beach, Ft January 2014 - Present Serve on the non-profit MBU Board of Directors. I also served on the MBU Nominating Committee and Chaired both the MBU Marketing Committee and MBU North Beach Committee. l,lorth Shore llistoric Dlstrict Neighborhood Association, Mlami Beach, FL March 2013 - Present Co-founder and President. The NSHDNA's mission is to protect and enrich the historic quality of our residential neighborhoods, promote appropriate commercial development in the commercial areas, ensure responsible stewardship of our parks and natural resources, address quality of life issues for residents and visitors and promote a strong sense of community, North Beach Nelghbors Alllance, Mlami Beach, FL July 2015 - Pres€nt Co-founder and member of the NBNA Steering Committee. The North Beach Neighbors Alliance (NBNAI is dedicated to building community and advocrtinS on behalf of local residents through creative neighborhood outreach and education- We are committed to responsible development, transparent governance, and collaborative action that celebrates the neighborhood's vibrant character and preserves our architectural heritage. Miami Foundation: Sea tevel Rise Focus Group, Miami, F[ June 2015 Served as a community representative on the Miami Foundation's focus group addressing how best to inform and mobilize geographically vulnerable communities in making Miami resilicnt to sea level rise. Miami-Dade County Arts: Festivals Grant Review Panel, Miaml, FL 200E, 2009, 2010, 2012 S€rved on the Review Panel for Miami-Dade County'Festivals' Grant Protram, Employment History Winter Music Conference, lnc., Fort Lauderdale, F[ Director of Operations & Development January 1998 - Present Focilitote ond supervise all aspects of opemtions for one oJ Miomi Beoch's premier weeklong citywide events whlch seryes ds the premler onnuol plotform lor the odvancement ol the music industry with over 5O,OO0 music enthusiosts and professionols Jrom 70+ countries in ottendonce ond ledturing over 5@ total events presented ot morc thon 730 venues ond over 2,700 pdrtlclpotlng ortlsts. 7915 Crespi Boulevard, Miaml Beach, FLOwner/Operator October 2000 - Present Focllitote oll business operotions ior o fouhunit woterltont residentiol oportment building which I lovingly rcstored over seveml ycors. Thc propefi wos constructed ln 7948 ond desoned by noted orchitect Corlos B. Schoeppl in the Postwdr Streomllne orchitecturol svle. lt is o contilbuting *ructurc of the Nofth Shorc Historic Disttict listed on the Notionol Rcgister oI Histotlc Ploces. For morc than o decode, I hove been an dctive ddvocote on quolity of lile issues and o steodtost proponent for the positive advdncement ol our community through manoged qrowth, preservation ond optimizotion ol the unique histotic ollurc thot delines the revered chorocter of our neighborhood, Miaml Gay & Lesbian Film Festival, lnc., Mlaml Beach, FL Managing Director October 2006 - October 2007 Colloboruted with Prcgrom Dircctor ond Boord of Directors in developing and coordinoting oll ospects ol opemtions and promotions lor annuol 70-doy lllm Iestivol ond 5O7(c)3 otgonizotion which produced the lorgest onnuol goy ond lesbion culturol event ln the Southeottem U.5. The teft Bank Organlzation / Blondie Music, tnc., New York, NY Artist Manager May 1996 to January 1998 Responsible for cooilinotion ol oll ospects of ortist inwlvement lor the reunion of intemotionol platinum selling recording artists, Blondle. Overland Productions, lnc. / Radioactive Records, J.V,, New York, NY Artist Manager / Product Manager January 1991 to May 1996 coodlnoted and supervlsed dll ospects oI drtist engogements, product development, recordlng, monufoctuilng, dlstrlbutlon ond promotion Iot internotionol recording oftist clients Rdmones, Deboroh Hdrry, Big Audio Dynomite, foking Heods, Tom Tom Club ond Thompson Twins. Education Furman Universaty, Greenville, SC 8.A., Boyles Arts Scholarship, Swimming Scholarship New York University, New York, NY Tlsch School of the Arts, Vlsual and Dramatlc Wrlthg 163 Page I of1 htB : //employee/BACAdmin/Home/GetF ile I | 299 I 80 5 tr/2t20r6164 Nancy Liebman 165 THIS PAGE INTENTIONALLY LEFT BLANK 166 E MIAMIBEACH NAME: Liebman CITY OF MIAMI BEACH BOARD AND COTTf,ITTEE APPLICATION FORI Nancy Last Name HOME ADDRESS: 5600 Collins Avenue # 3F First Name Miami Beach Middle lnitial Florida 33{40 Apt No. Home No./Street PHONE: 305'6094288 N/A City nanlleb@aol.com State Zip Code Home Business Name: NrA Work Email Address position: BS ln Educatlon Address: N/A N/AN/A N/A Street State Zip Code Pursuant to City Codc section 2-22(11|-a and b: Members of agencies, boards, and commiltees shall be affiliated with the city: this requirement shall be fulfilled in the following ways: a) an individual shall have been a resident of the city for a minimum of six months; or b) an individual Ehall demonstrate ownership/interest for a minimum of six months in a business established in the city. o Resident of Miami Beach for a minimum of six (6) months Yes. Demonstate an ownership/inlerest in a business in Miami Beach for a minimum of six (6) months: No o Are you a registered voter in Miami Beachl Yes o (Please circle one): I am now a resident of: Mlddle Beach o I am applying for an appointment because I have special abilities, knowledge and experience. Please list below: Special interegt & knowledge of Historlc Preservation. o Are you presently a registered lobbyist with the City of Miami Beach? No Please list your preferences in order of ranking [1] first choice [2] second choice, and [3] third choicechoices will be observed by the City Clerk's Ofiice. (Regular Boards of City) Choice l: Historic Preservalion Board Choice 2: Choice 3: Note: lf applying for Youth Advisory Board, please indicate your affiliation with the Scott Rakow Youth Center: 1. Past service on the Youth Centor Advisory Board: 1o years of Service: 2. Present participation in Youth Center activities by your children No if yes, please list the names of your children, their ages, and which programs. List below: Child Name Age Program City 167 . Have you ever been convicted ol a lelony: No lf yes, please explain in detail: . Do you currently have a violation(s) of City of Miami Beach codes: No lf yes, please explain in detail: . Do you currently owe the City of Miami Beach any money: No lf yes, please explain in detail: o Are you currently serving on any City Boards or Committees: No lf yes, which board? o What organizations in the City of Miami Beach do you cunently hold membership in? Name Title MiamiBeach United President o List all properties owned or have an interest in, which are located within the City of Miami Beach: Property 5600 Collins Ave # 3F . I am now employed by the city of Miami Beach: No Which department? The followlng information is voluntary and ir ncithcr part of your application nor has any bearlng on your consldaration for appointment. lt igb6lng asked to comply wlth foderal equal opportunity roporting requiromonb. Gender: Female Race/Ethnic CategoriesWhat is your race? Mark one or more races to indicate what you consider yourself to be. White Other Description: Are you Spanish/Hispanic/ Latino? Mark the 'No" box if not Spanish / Hispanic / Latino. No PhysicallyChallenged: Yes NOTE: lf appolnted, you wlll be requlrcd to follow cortrln laws whlch apply to city board,commlttee membera,These l8w3 include, but aro not llmlted to, the followlng: o Prohibition from directly or indirectly lobbying clty personnel (Mlami Beach City Code section 2-459).o Prohibition from contracting with the city (Miami-Dade County Code section 2-l 1 .1).o Prohibition from lobbying before board/committee you have served on for period of one year after leavlng offlce (Miami Beach Code section 2-26).o Requiremenl to disclose certain financial interests and gifls (Miami-Dade County Code section 2-1 '1.'l ).(re: CMB Community Devolopment Advisory Committee): prohibilion, during tenure and for one year afler leaving office,from having any interest in or receiving any benefil from Community Development Block Grant funds for aither yourself, or those with whom you have business or immediate family ties (CFR 570.611). Upon requ6st, copies of these laws may be obtalned trom the City Clerk. "l hereby atteat to thc iccur!ry and truthfulness of the appllcatlon and h.ve recolvod, read and will abid€ by Chapter 2, ArtlcleVll - of the Clty Godo "Standard3 of Conduc{ for Clty Offlcsr3, Employeer and Agency Member..,' I Nancy Liebman agreed to the following torms on Received in the City Clerk's Offlce by: Name of Deputy Clerk Control No. 168 NANCY LIEBMANffiMIAMI BEACH, FLORIDA (3e5,F3&00t2 EDUCATION B.S. Education New Jersey State 1957 EMPLOYMENT Elementary School Teacher Depford Township, New Jersey 1957-59 Dade County Schools, Miami Florida 1959-1961 College Assistance Program Advisor Miami Beach SeniorHigh 1983-87 Executive Director Miami Design Preservation League l9E8-92 COMMUNITY EXPERIENCE Miami Beach City Commissioner 1993-200l ----4Appointed to the Presidential Rank Review Board April200l Chairperson, Commission Land Use Committee 1998 Chairperson, Miami Beach Historic Preservation Board 1982-1993 Board of Directors Florida Trust for Historic Preservation 1990-1996 Florida Advisor National Trust for Hstoric Preservation Appointed October, 1993 Board of Directors Museum of Contemporary Art2W Wtgnur(anrTt- feslus- 3oa2- ?et$er1f '-'Lt:;; Pttcolne''aiis'..an^ tjl; ?r.=denf -lNrq,rrtt Wa-on''U:;r,bd ZDtz--Crurfentyffiffi,+#c-4os{d 3rr1 56oobtlvleAv *ef cit+t* g.r l *o JaS -lo7- L/ZW Jutl?Nb 4,or{-/irL 169 Founding Member Urban Arts Society Host Committee 2000 Vice Chair 2001 . . Chairperson, Governmental Af[airs Miami Design Preservation League 1992-1993 Board Member 1979-1998 Chairperson, Annual Meeting Miami Beach Florida Trust for Historic Preservation 1997 Member, GreaterMiami Chamber of Commerce Hotel Development Task Forcel99l Board Mernber, United Foundation for Aids 1993 Board Member, Area Stage Theater1993 : Board Member, Miami Beach Development Corporation t982-92 Tnrstee, Dade Heritage Trust :.' 1994-Present President, Mianri Beach Senior High PTA 1979-82 President, Biscayne Elementary School PTA 1973-77 Youth Center Advisory Committee Mernber and Chairperson 1973-7E , HONORS Wo.an ofthe Year Ivfiami Beach Jaycees 1982-83 Founding Chairman's Award 170 Miami Beach Development Corporation r986 Dade County School Board Award For Commendable Contribution to Education 1974 City of Miami Beach Mayors Award 1988 Women Worth Knowing Miami Beach Commission on the Status of Women 1989 Mami Design Preservation League Chairpersons Award t993 Henrietta tlanis Award from Dade Heritage Trust for Leadership in Historic Preservation lssues 1995 Women ofDstinction Crohn's and Colitis Foundation of America 1995 Florida Assocciation ofthe American Institute of Architects Bob Graham Honorary AIA Architectural Awareness Award August 1997 New World School ofthe Arts Maxi Award in Recognition for Contributions to the Cultural Arts 1998 Outstanding Historical Preservation Award from The Miami Chapter ofthe American Institute ofArchitects 1998 AMBIE Award for City Official Most Supportive of the Arts Dade Cultural Alliance 1999 March of Dimes Foundation Award for Community Service 2001 SPEAKING ENGAGtrMENTS 171 Boston, MA Design Students League Harvard University ''THE ART DECO DISTRICT" I99O Charleston, SC Panel Participant: National Trust for Historic Preservation: METHODOLOGY TO STUDY THE ECONOMIC BENEFITS OF PRESERVTNG COMMUMTY CHARACTER- I 990 San Francisco, CA Panel Participant: National Trust for Historic Preservation FINDINGS AND RECOMMENDATIONS When Past Meets the Future 1991 Miami, FL National Trust for Historic Preservation Panel:-HISTORIC PRESERVATION IN MIAMI BEACH- 1992 National Trust Annual Conference Responsibilities: (Miami Conference 1992) Local Miami Advisory Committee Fundraising Committe Preservation Action Auction committee Mobile Workshop facilitator Natchitoches, LA National Trust for Historic Preservation POLITICS OF PRESERVATION Preservation Leadership Training Institure Northwestern StateUniversity 1996 Washington, DC National Trust Regional Advisory Meeting Panel,POLITICS AND PRESERVATION' 1995 Boston" MA Society for Environmental Graphics,THE ART DECO DISTRICT" 1996 Miami, FL The Coconut Grove Villagers-SOUTH BEACH SUCCESS'' 1996 Miami, FL Max Lunch New World School of the Arts,CULTURAL ARTS IN MIAMI BEACH' 1997 Miami, FL Dade Green Coalition Metro Dade County/University of Miami,URBAN INFILLU 1997 Miami, FL Florida Trust for Historic Preservation,EVALUATING TTM LONG RANGE IMPACT OT HISTORIC PRESERVATION ON THE CITY OF MIAMI BEACH' 1997 172 Columbus, MI Mississippi Heritage TrustlDeveloping Heritage Tourism,IDENTIFICATION & INTEFPRETATION OF SITES IN YOUR COMMUNITY" April. 1998 Miami, FL Greater Miami Chamber Goals Conference Panelist,ETHICS IN BUSTNESS AND GOVERNMENT* June,1998 Ft. Lauderdale, FL Florida Atlantic University Florida [nstitute of Government HOT TOPICS FOR LOCAL GOVERNI\ffiNTS: ISSUES AND OPTIONS FOR REDEVELOPMENT IN SOUTH FLORIDA..MAKING REDEVELOPMENT WORK: NECESSARY POLITICAL COMMITMENT" January, 1999 Tampa, FL Travel South's Heritage Tourism Conference*PRESERVATION FROM THE TOP." March,2000 New York, NY American Planning Association..URBAN TOURISM' April, 2000 Washington,D.C. HospitalityResourceNetwork..HOSPITALITY AND TTM YOIING ADULT" Oaober 2000 Miami Beach, FL International Council of Fine Arts Deans..INTRODUCTION TO SOUTH BEACTT' October 2000 Miami Beach, FL lnternational Women's Forum Opening Plenary Session..CREATING SUCCESSFUL COMMTINITIES TN THE 2IST CENTURY' October 2000 Washington, D.C. National Hospitality Resource Network..HOSPITALITY AND T}IE YOLNG ADULT' How Miami Beach has dealt with teenage drinking and Under 2l year olds in drinking establishments October 2000 Miami, FL Dade Heritage Trust Sustainable South Florida Workshop: 173 Miami Beach FL Role of Inns & Enterprises in NaturelHeritage Tourism.SPECTAL CHALLENGES & OPPORTUNITIES IN SOUTH FLORIDA" April200l Society for Environmental Graphic Design*HAVING FUN IS SERIOUS BUSINESS" May,200l PUBLICATIONS nThree Strikes, You're Out" National Trust Forum Magazine, Vol.9, Number4 Summer 1995 NATIONAL TRUST FOR HISTORIC PRESf,RVATION COIIEERENCES: San Antonio, TX Bahimore, MD Seattle, WA Kansas City, MO Cincinnati, OHl988 Philadelphi4 PA Charlestorl SC San Francisco, CA Miami, FL St. Louis, MI Bostonq MA Fort Worth, TX Chicago, IL Savannah, GA Washington 1984 1985 1986 1987 1989 1990l99l t992 1993 1994 1995 1996 1998 1999 OTHER CONFERENCES: Mohonk, NY, Pittsburgtr, Pd RaleigtL NC, Winter Park, FL Cultural Tourism 1989 Planning for Preservation Managing Growth in Urban Areas 1990 National Trust Preservation Leadership Training l99l ISTEA kgislation Planning for Livable Communities 1993 174 Philadelphia, PA International Downtovm fusociation Conference 1994 Denver, CO International flowntown A$ociation - Conference 1995 Boca Ratoq FL Uamging Growth for a Sustainable Futrre. The Lessons ofthe 90's, a Blueprint for the Future 1998 Tampa, FL Resolvingland Use Conference CLE - Tampa November 2 & 3, 1998 Atlanta, GA ISTEA Conftrence National Trust -December l, 1998 kdianapolis, lN Msin Street Town Meeiling National Trust - April200l 175 THIS PAGE INTENTIONALLY LEFT BLANK 176 AIan B. Fishman 177 THIS PAGE INTENTIONALLY LEFT BLANK 178 g MIAMIBEACH NAME: Fishman CITY OF MIAMIBEACH BOARD AND COMMITTEE APPLICATION FORM Alan Last Name HOME ADDRESS: 4640 Post Ave First Name Miami Beach Florida Middle lnitial 33140 Apt No. Home No./Street PHONE: (305) 532-2810 (30s) s32-2810 City abfesq@ao!.com State Zip Code Email Address Position: n/a Address: nla n/anla Business Name: n/a State Zip Code Pursuant to City Code section 2-22(41a and b: Members of agencies, boards, and committees shall be affiliated with the city; this requirement shall be fulfilled in the following ways: a) an individual shall have been a resident of the city for a minimum of six months; or b) an individual shall demonstrate ownership/interest for a minimum of six months in a business established in the city. o Resident of Miami Beach for a minimum of six (6) months Yes o Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: Yes o Are you a registered voter in Miami Beach: Yes o (Please circle one): I am now a resident of: Middle Beach o I am applying for an appointment because I have special abilities, knowledge and experience. Please list below: Attorney o Are you presently a registered lobbyist with the City of Miami Beach? No Please list your preferences in order of ranking [1] first choice [2] second choice, and [3] third choice. Please note that only three (3) choices will be observed by the Gity Clerk's Office. (Regular Boards of City) Choice l: Human Rights Committee Choice 2: Transportation, Parking and Bicycle-Pedestrian Facilities Committee Choice 3: * Board members are required to file Form I - "statement of Financial lnterest" with the State. lf you seek appointment to a professional seat (e.9., lawyer, architect, etc.) on the Board of Adjustment, Design ReviewBoard, Historic Preservation Board or Planning Board, attach a copy of your currently-effectively license, and furnish thefollowing information: Type of Professional License License Number License Expiration DateLicense lssuance Date Note: lf applying for Youth Advisory Board, please indicate your affiliation with the Scott Rakow Youth Center: 1. Past service on the Youth Center Advisory Board: po years of Service: 2. Present participation in Youth Center activities by your children No if yes, please list the names of your children, their ages, and which programs. List below: City Child Name Age Program 179 . Have you ever been convicted ofa felony: No lf yes, please explain in detail: o Do you currently have a violation(s) of City of Miami Beach codes: No lf yes, please explain in detail: o Do you currently owe the City of Miami Beach any money: No lf yes, please explain in detail: . Are you currently serving on any City Boards or Committees: Yes Human Rights Commlttee - Chair lf yes, which board? o What organizations in the City of Miami Beach do you currently hold membership in? r I am now employed by the city of Miami Beach: No Which department? o List all properties owned or have an interest in, which are located within the City of Miami Beach: Gender: Male The following infomation is voluntary and is neither part of your application nor has any bearing on your consideration for appointment. lt isbeing asked to comply with federal equal opportunity reportlng requlrements. Race/Ethnic CategoriesWhat is your race? Mark one or more races to indicate what you consider yourself to be. White Other Description: Are you Spanish/Hispanic/ Latino? Mark the "No" box if not Spanish / Hispanic / Latino. No PhysicallyChallenged: No NOTE: lf appointed, you will be requlred to follow certain laws whlch apply to city board/commiftee members.These lawe include, but are not llmited to, the followlng: o Prohibition from directly or indirectly lobbying city personnel (Miami Beach City Code section 2-459).o Prohibition from contracting with the city (Miami-Dade County Code section 2-11.1).o Prohibition from lobbying before board/committee you have served on for period of one year after leaving office (Miami Beach Code section 2-26).o Requirement to disclose certain financial interests and gifts (Miami-Dade County Code section 2-1 1 .1). (re: CMB Community Development Advisory Commiftee): prohibition, during tenure and for one year after leaving office, from having any interest in or receiving any benefit from Community Development Block Grant funds for either yourself, or those with whom you have business or immediate family ties (CFR 570.61 1). Upon request, coples of these laws may be obtained from the City Clerk. 180 "l hcleby atteet to the .ccuncy and truthfulneer of ihe appllcatlon and have rccolved, rcad and wlll ablde by Chaptcr 2, Artlcle Vl! - of Urc CIty Cods "Stlndardr of Gonduc't for C[y Officerr, Employeer and Agency tombort." I Alan Flshman agrDed to the followlng tenns on Received in the City Clerk's Offce by: Name of Deputy Clerk Control No. Date 181 PnoFESSlOilAtAFFILIATIONS: EXPERIENCE: PUBLICATIOT{: EDUCATlON: HONORS ANOACTIVITIES: Alen B. Fldrman, Erqulrc 9GO ArthurGodtry Fod$dtc 102illaml Bosch, Horlda 3iri40(305) s32-2810 Ths FlorH. 8ar, 1987. CsrdflGd tublc Accounoot (Flodda), 1987. Solo Practltloner, Florldr.llry 1989 - PBssnLhw. t w Offh! d Ahn B. Flshman, Mltml B3aclr, Pncdcc ln rsal 6t3tB, benkruptcy ad orporeto Thcrrcl Brlrdcn & llcyer Wglss, lllaml Beach, Florldr.Octbcrt 987 - Mry 19E9, Atunmy. trossrrfi md wrltlng oplnloas adrmonndr lnwlvlrq brnk[q nd real estm bw. Ta reeearch in frtn.r$tlp, cotpot?fis,6rBlgt] 3st.t3 pbnnltu and fedsnl and strtc taxoonlroverdls. trgsoarch and writlry pleadlngs and memnldr for cMlltlgrtbn proceGdftgs. l4lcheel J. Moorhcrd, Prolesror of Lew, Unhrct$ty of Florldr, GelnGnillc, Florld.. Scptcnter f 985 - lrey 1987, Rsscrrdr AtsFt nt.Rcss.rdrGd labor hw, rdminlstnth,s lrw rnd clvll rlgltts law to as*t in ths pngandon of artcbs br pbllcedon Ecsmh,! u:c of WESILAW computrr rr*rrch rnd leglslettuc mrteihb. Co-author, Fbride CMI Practhe Darmgas Chapter SU, (CtE Se51dEdltbn, t9E9 Supplcrpnt). JurE Doctoratc,Udvenlty of Fbdde Cdh6 of Lm, May 19E7. Bachelor of Scbncc ln Buslrss Adrrlnbtratlon in Professlqnl Aeountlngrnd Flnencg Thc Amrlcan Unlvrrs$, May t984. Unlveslty of Florldr Collcge of Lrw ilcrit Loan (t 984 - 1987).Thc Arnrrlcan Untuorrlty MGrit Scholmhlp (t 981 - 1984). Charlcs Glovcr Sciohrchlp (1983). SHncy Lrdwlg Formdrtlon Scholershlp (t 98O -r 983). Outst rdip Snrdstt SGrylcs Awrr{ Kogod Cokgs of Bushes Adrdnbtratbn. The Amsrtsan Unlverity (1984). Chalrman, Commcnccmrnt Conuilttg3 (1983 - I984). 182 Scnator, Kogod Co[egs of &rs[tess AdrdnBtratist Studont Repesantatiw to Faodu Scoate (1983 - 1984). Snrdent Reprcsenutlrra, Senate Flnence @mmlttce (1983 - f 984). Sudart nsetesentatnp, Bord of Tnrstees Financt Cotnntttee (1983 -1984).A$bt nt Academic Advlsor, enterlng fresfunen (1983). Sudcnt CanrhdGntion Judgc, &lminel and C.ondrct Code Trihrral (1980 - t98t). ilEUBENSHIPS:Ihde Cotmy Bar Assodatbr: Dlroctor, Young t-zuryers Sectlon (1988 - 1991). Trcagurer, Young Laryerc Sectlon (1991-1993).' Atncrlcan Bar Assodatlon. Phl Delta Phi Legal Fretcmlty. 2 183 il#, ,#* -l :- -. j*,**.*p*rqr**r& .' Y*tsas.,_ 184 Dale Stine 185 THIS PAGE INTENTIONALLY LEFT BLANK 186 C MIAMIBEACH NAME: Stine CITY OF MIAMI BEACH BOARD AND COMMITTEE APPLICATION FORM Dale Last Name First Name HOME ADDRESS: tSZg Pennsylvania Ave. #lN Miami Beach Middle lnitial Florida 33139 Apt No. Home No./Street City PHONE: 305'761'3253 State Zip Code dale@dalestine.com Home Business Name: Heart Prints. lnc. Address: 1573 PennsylvaniaAve. # 1N position: PresidenUPhgtographer Email Address Miami Beach Florida 33139State Zip Code Pursuant to City Gode section 2-22(41a and b: Members of agencies, boards, and committees shall be affiliated with the city; thisrequirement shall be fulfilled in the following ways: a) an individual shall have been a resident of the city for a minimum of sixmonths; or b) an individual shall demonstrate ownership/interest for a minimum of six months in a business established in the city. o Resident of Miami Beach for a minimum of six (6) months Yes o Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: Yes o Are yod a registered voter in Miami Beach: Yes o (Please circle one): I am now a resident of: South Beach o I am applying for an appointment because I have special abilities, knowledge and experience. Please list below: Photographer - Dale Stine views the photographic lens through his creative, academlc and professional experiences in the perf. Are you presently a registered lobbyist with the City of Miami Beach? No Please list your preferences in order of ranking [1] first choice [2] second choice, and [3] third choice. Please note that only three (3)choices will be observed by the Gitv Glerk's Office. (Regular Boards of City) Choice 1: Human Rights Committee Choice 2: Art in Public Places Committee Choice 3: AnimalWelfare Committee * Board members are required to file Form 1 - "statement of Financia! lnterest" with the State. !f you seek appointment to a professiona! seat (e.9., lawyer, architect, etc.) on the Board of Adjustment, Design ReviewBoard, Historic Preservation Board or Planning Board, attach a copy of your currently-effectively license, and furnish thefollowing informatlon: Type of Professional License City License lssuance Date License Number License Expiration Date Note: lf applying for Youth Advisory Board, please indicate your affiliation with the Scott Rakow Youth Center: 1. Past service on the Youth Center Advisory Board: 1o years of Service: 2. Present participation in Youth Center activities by your children No if yes, please list the names of your children, their ages, and which programs. List below: Child Name Age Program 187 . Have you ever been convicted of a felony: No lf yes, please explain in detail: . Do you currently have a violation(s) of City of Miami Beach codes: No lf yes, please explain in detail: o Do you currently owe the City of Miami Beach any money: No lf yes, please explain in detail: . Are you currently serving on any City Boards or Committees: Yes LGBTQ Advisory Committee lf yes, which board? o What organizations in the City of Miami Beach do you currently hold membership in? o I am now employed by the city of Miami Beach: No Which department? o List all properties owned or have an interest in, which are located within the City of Miami Beach: Gender: Male The following information is voluntary and is neither part of your application nor has any bearing on your consideration for appointment. lt isbeing asked to comply with federal equal opportunity reporting requirements. Race/Ethnic CategoriesWhat is your race? Mark one or more races to indicate what you consider yourself to be. White Other Description: Are you Spanish/Hispanic/ Latino? Mark the "No" box if not Spanish / Hispanic / Latino. No PhysicallyChallenged: No NOTE: lf appointed, you will be required to follow certain laws which apply to clty board/committee members.These laws include, but are not limited to, the following: o Prohibition from directly or indirectly lobbying city personnel (Miami Beach City Code section 2-459).o Prohibition from contracting with the city (Miami-Dade County Code section 2-11.1).o Prohibition from lobbying before board/committee you have served on for period of one year after leaving office (Miami Beach Code section 2-26).o Requirement to disclose certain financial interests and gifts (Miami-Dade County Code section 2-1 1 .1). (re: CMB Community Development Advisory Committee): prohibition, during tenure and for one year afler leaving office, from having any interest in or receiving any benefit from Community Development Block Grant funds for either yourself, or those with whom you have business or immediate family ties (CFR 570.61 1). Upon request, copies of these laws may be obtalned from the Gity Clerk. "l hereby attest to the accuracy and truthfulness of the appllcatlon and have received, read and will abide by Chapter 2, Article V!! - of the City Code "Standards of Conduct for Clty Officers, Employees and Agency Members." I Dale Stine agreed to the following terms on Received in the City Clerk's Offlce by: Name of Deputy Clerk Control No.Date 188 Dale Stine Committee Application Statement Dec. 5,2018 Having served on the LGBTQ Advisory Committee for several years, I am well-aware of the goals, responsibilities and mission of city committees. For the last five years, I was chair of the sub-committee which was responsible for procuring a perfect score on the Human Rights Campaign's Municipality Equality lndex. I have been a full-time resident of Miami Beach since 2001 and opened my own photography/arts/music business (HeartPrints, lnc.) in 2002.1 am fully engaged in the community; I am active in many arenas; I am an advocate for quality of life for all who live here, for all who visit here and for all who do business here. 189 DALE STINE Dale Stine views the photographic lens through his creative, academic and professional experiences in the performing arts. A North Carolina native who obtained a Master's Degree in Opera from the world-renowned Juilliard School Ory), Dale enjoyed a 16-year run in many off- Broadway productions. Never one to pass up an opportunity to flex various muscle groups, Dale simultaneously pursued a dual career in personal training and fitness instruction, alongside his acting, modeling and theater pursuits. A self-taught shutterbug, Dale quickly established himself as one of those most sought-after photographers in Miami. Since 2001, his photographs and images have graced countless magazines, cd covers and websites. Internationally-acclaimed DJ's, drag personas as well as various politicos, businesspeople and entertainers are among his favorite clients., including many who hire him to photograph interiors and exteriors of well-known restaurants and clubs in the Miami area. Dale has been an offrcial photographer for the internationally-acclaimed South BeachWine and Food Festival as well as having been involved with Aqua Girl, Miami Gay and Lesbian Film Festival, Miami-Dade Gay and Lesbian Chamber of Commerce,The National LGBTQTask Force, The Hub at the LGBT Wsitorb Center Pridelines and Miami Beach Gay Pride, to name a few. In addition to his photography, Dale is also involved with many of the aforementioned organizations in a hands-on volunteer capacity. He is honored to sit on Mayor Phil Levine's Miami Beach LGBTQ Advisory Committee, appointed by several commissioners in the last six years. Exhibitions have included The Diva Collection: Illusion Series, featured at the historic Royal Palm Hotel during White Party, The Starlet Series at Miami Beach Cinematheque, Communion Celebrates Art at the Bakehouse Art Complex, Decline in Civilization for Art Basel 2006 and A DifferentAngle forArt Basel2008. Dale was featured in the show Leaders, Legends & Lovelies at Miami Beach's newly-renovated Deco Center in both 2010 and 2011. In 2012, he was one of the four annual honorees at the same event, being awarded with Unity Coalition's medallions. Dale also photographed The DELICIOUS Campaign, an "icon-and-star-studded" happening in conjunction with DNING OUT FOR LIFE, a national organization whose proceeds benefited Care Resource in Southeast Florida. In addition to his solo work, Dale works with Bob Gramatges as part of an artistic collaboration known as GRAMSTINE. Their work has been seen in a number of galleries and exhibitions, includingArt Basel in 2015. Musically speaking, Dale is currently the Director of Music Ministry at Unity on the Bay. Pior to his two years in this position, he was the resident choir director. He performs regularly in the Miami area and continues to travel as a guest artist. "Whether it's photography or music, my passion emanates from the same place. It's all in the phrasing, whether I'm singing it or seeing it." 190 191 THIS PAGE INTENTIONALLY LEFT BLANK 192 Jonathan J. Welsh 193 THIS PAGE INTENTIONALLY LEFT BLANK 194 i* lAt\l' I i:[,*\i." i"-i I.ii;{* Ar,li-} Ci;ta1"1}TTgf ,:rPtr1,ii: A.i}{it"i f l-iR&i 2J r.3 Home Address I City Care {?eso"rK Business Name Occupation35\A ?.',5(a,,*p i1,".teu,"r/ ry.i^n; €/. '3jt3a Business Address City State Zip Code Professional License (describe): Expires: Please atlach a copy of currentty effective professional license. Please list your preferences in order of ranking [1] first choice [2] second choice, and [3] third choice. Please note thatonlv three t3l choices will be observed bv the Office of the Cily Clerk. * Board members are required to flle Form 1 - "Statement ol Financial lnteresf'wlth the State.lf you seek appointment to a professlonal seat (e.9., lawyer, architect, etc.) on the Eoard of Adjustment, Design ReviewllBoard, Historic Preservation Board or Planning Board, attach a copy of your currently-effectlvely license, and furnish thefollowing information: Type of Professional License License Llcense lssuance Date ,License Expiration Date (*/4) Pursuant to City Code section 2-22{4la & b: Members of agencies, boards and committees shall be affiliated with the City. This requirement shall be fulfilled in the following ways: a. An individual shall have been a resident of the City fora minimum of six months; or b. An individual shall demonstrate ownership/interest for a minimum of six months in a business established in the City for a minimum of six months. \ /r Resident of Miami Beach for a minimum of six (6) months: ygs por no Er Demonstrates ownership/interest in a business'iqfliami g*""i fn minimum of six months: Yes Er to N. Are you a registered voter in Miami Beach: Yes D(lor NC Er I am now a resident of: North Beach E Souttr aeachp Middle Beach fIo I am applyng for an appointment because I have special abilities, lgowledge a-nd experience. Please list below:C"rn*.,^,ir \lr''uerr,lr,rtr,rf , LG 6f , hlfqltL', fr,ii(rr Trvrl^ -....-T-...- - . Are you presently a registered lobbyist with the City of Miami Beach? yes f] or No f] Affordable Housing Advisory Committee Parks and Recreation Facilities Board € Marine & Waterfront ProtectionConvention CenterAdvisory Board Transportation, Pa*ing, & Biclcle-Pedest.ian Miami Beach Commission forWomen C:\Users',CLERQUeR\Desklop\BC APPLICATIO N.docx Page 1 of4 Number 195 6 Note: lf applying for the Youth Center positions of the Parks and Recreations Facilities Board, please indicate your affiliation wilh the Scott Rakow Youth Center and/or the North Shore Parks Youth Center: . Present participation in Youth Center activities by your children: Yes [J No B lf yes, please list below the names of your children, their ages and the programs in which they participate: Age: Program: Age:_Program: r Have you ever been convicted of a felony? Yes lf yes, please explain in detail: o Do you currently have a violation(s) of City of Miami Beach Code? yes E o, *$ lf yes, please explain in detail o Do you cunently owe the City of Miami Beach any money?,"" ff "^"fflf yes, explain in detail: r Are you currently serving on any City Board or Committee? yes fl o, NoS I yes, which board/committee? s) in the City of Miami Beach do you currently hold membership? Name Positlon o List all properties owned or in vyhich you have an interest within the City of Miami Beach:N/ a' . Are you now employed by the City of Miami Beach? Yes E or No Which department and title? lf "Yes,' identify person{s) and department(s): The following information is voluntary and ls nelther part of your application nor has any bearing on your conslderation for appointment. lt is bping asked to comply with City diversity reporting requirements. Gender: Male lN Female r Pursuant to city Code Section 2-25 lb): Do you havp a parent E, .pou"" f], child f] brother * o, sister fl who is employed by the City of Miami Beach? Yes Eor. fqo F Race/Ethnic Categories What is your race?f] arri"an-emerican/BlackE CaucasianMhiteE Rrirn or Pacific lslanderE Native-Am erican/American lndian CJUsers\CLERQUeR\Desklop\BC APPLlCATlON.docx Page 2 of 4 196 fJ otn"r- Print Race: Do you consider yourself to be Spanish, Hispanic or Latino/a? Mark the "No" box if not Spanish, Hispanic, Latino/a. E*oE v". Do you consider yourself Physically Dlsabled? E*ofJ v", NOTE: lF APPOINTED, YOU WILL BE REOUIRED TO FOLLOW CERTAIN LAWS THAT APPLY TO CITY BOARD/COMMITTEE MEMBERS. THESE LAWS INCLUDE, BUT ARE NOT LIMITED TOI c Prohibition from directly or indirectly lobbying City personnel (Miami Beach City Code section 2-459). o Prohibition from contracling with the City (Miami-Dade County Code seclion 2-11.1).o Prohibition from lobbying before the board/committee you have served on for period of one year after ieaving office (Miami Beach City Code section 2-26).o Requirement to disclose certain financial interests and gifts (Miami-Dade County Code section 2-1 1.1). o CMB Community Development Advisory Committee: prohibition, during tenure and for one year after leaving office, from having any interest in or receiving any benefit from Community Development Block Grant funds for either yourself, or those with whornyou have business or immediate Iamily ties (CFR 570.61 1).c Sunshine Law - Florida's Government-in-the-Sunshine Law was enacted in 1967. Today, the Sunshine Law regarding opengovernment can be found in Chapter 286 of the Florida Statutes. These statutes establish a basic right of access to most meetings of boards, commissions and other governing bodies of state and local governmental agencies or authorities. Voting conflict - Form 88 is for use by any person serving at the county, city or other local level of government on an appointed or elected board, council, commission, authority or committee. lt applies equally to members of advisory and non-advisory bodies who are presented with a voting conflict of interest under Section 112.3143, Florida Statutes. Upon request, coples of these laws may be obtained from the City Clerk. I HEREBY ATTEST TO THE ACCURACY AND TRUTHFULNESS OF THE APPLICATION; AND I HAVE RECEIVED, READ AND WILL ABIDE BY CHAPTER 2, ARTIGLE VII, OF THE MIAMI BEACH CITY CODE, ENTITLED "STANDARDS OF CONDUCT FOR CITY OFFICERS, EMPLOYEES AND AGENCY MEMBERS AND ALL OTHER APPLICABLE COUNfi AND/OR STATE LAWS AND STATUTES ACCORDINGLY.'' Received in the Office of the City Clerk by: Name of Deputy Clerk Control No.Date OF ANYATTACH A CURRENT RESUME, PHOTOGRAPH AND A COPY APPLICABLE PROFESSIONAL LICENSE. ATTACH ADDITIONAL SHEETS, IF NECESSARY, TO PROVIDE REQUIRED INFORMATION. clUsers\C LERQUeR\Desidop\Bc APPLIcAnON.docx Page 3 of 4 197 . , ,. : ! ,;;1., Ii ,.1 I $"tr f,*. .'i '.! / 1l Yk City of Miqmi Bcoch &f^l-"{f 1"\#i t 1700 Convention Center Drive, Miorni Beoch, Florido 33'l39, www. rn iomibeochfl. oo, OFFICE OF THE CITY CLERK C iry€ierk@mi om i beoc hfl. gov Telephone: 3A5.673.7411 Fox: 305.673.7254 Acknowledgement of fines/suspension for Board/Committee Members for failure to comply with Miami- Dade County Financial Disctosure Code Provision Gode Section 2-11.1{i} (2) Board Mem ber's Name: 5o n q{L an ( / e tJ l. I understand that no later than July 1. of each vear all members of Boards and Committees of the City of Miami Beach, including those of a purely advisory nature, are required to comply with Miami-Dade County Financial Disclosure Requirements. This means that the members of City Advisory Boards, whose sole orprimary respnsibility is to recommend legislation or give advice to the City Commission, must file, even though they may have been recently appointed. Qne-of the following forms must be filed with the City Clerk of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida, no later than 12:00 noon of July 1, of each year. 1. A "Source of lncome Statement" 2. A "Statement of Financial lnterests (Form 1)' 3. A Copy of your latest Federal lncome Tax Return Failure to file one of these forms, pursuant to the Miami-Dade County Code, may subject the person to a fine of no more than $500, 60 days in jail or both. Updated: Thursday, December 22, 2016 C:\Users\C LERQUeR\Desktop\BC APPLlCATlON.docr Page 4 of 4 198 Jonathan Welsh 744 Jefferson Avenue - Unit # + lViaml Beach, FL. 33139 1954. 793. 5317 | jwelshmia mi@gmail.com Profile and in nonprofits campaigns advocacy activities awareness initiatives on a yearly basis resulting in raising more than S500K researchers and Association Executives on a yearly basis per annum Positions/Accomplishments Care Resource Miami, FL Care Resource is a Federally Qualified Health Center (FQHC) that provides comprehensive health and support services to address the full health care needs South Florida's pediatric, adolescent and adult populations. Marketing and Development Monoger, 2/2014 - present agency's advertising and marketing is properly conducted addition to overseeing the planning, implementation and execution of all agency special events activities including website and socialmedia content and acting as agency's spokesperson in absence of CEO, adequate resources are estimated 199 Alpha-l Association Miami, FL The Alpha-l Association, a not-for-profit membership organization that identifies individuals affected by Alpha-1and improves the quality of their lives through support, education and advocacy. Advococy/Communications Monoger, 2/2010 - 2 /2014 advocacy activities at the state and Federal level Alpha-1 public relations and awareness programs that generated feature placements in local media households for more than 550 attendees the development of annual industry funding proposals that result in raising more than St million per annum and generated quarterly and annual dashboard reports to monitor and track advocacy and communications activities Kaplan Higher Education/Washington Post Company Fort Lauderdale, FL Kaplan Higher Education Corporation is a wholly-owned subsidiary of the Washington Post Company. They have a test prep division in addition to a postsecondary education division. Operotions Coordinator, 6/2008 - 9/2009 maintaining internal web portals and opening of new office buildings and EARTH HOUR Environmental Annual Report working in conjunction with staff in all departments United States Peace Corps Pretoria, South Africa The Peace Corps is a Federal volunteer program that provides both technical assistance and international cultural understanding. Community Development 8/2005 - 10/2007 Health/Wellness, and HIV/AIDS to address the severe needs of the local community 200 Actors' Playhouse Public Theatre Coral Gables, FL The Actors' Playhouse provides a work environment for theatre professionals and encourages the creation and production of new theatre works. Advertising Intern, 1-/2005 - 6/2005 oversaw trade advertising contracts Florida Sheriffs Youth Ranches lnglis, FL The Florida Sheriffs Youth Ranches is a not-for-profit residential child and family services organization that offers camping services and community based clinical and family facilities. Site Director, Program Leader, 1999-2005 4,000 at-risks youths to provide life skills training organizations in order to build trust between them and law enforcement EDUCATION UNIVERSITY OF MIAMI - Coral Gables, FL - June 2005 Bachelors in Communications and Arts and Sciences Double Major: Political Science and Public Relations. Special classes: Graphic Design, Media & Advertising Research, Public Relations Campaigns and Public Policy SKILLS Proficient in Microsoft Excel, PowerPoint, Word, Adobe ln-Design, Photoshop, SharePoint, Publisher, Constant Contact, Results Plus, Contribute, Joomla PROFESSIONAT AFFILIATIONS Miracle Mile Toastmasters Club - Former President, National lnstitutes of Health/Communications Affinity Group - Former Member, Alpha-l Association - Public Policy Working Group - Former Member, American Plasma Users Coalition (A-PLUS) - Former Member, Florida Society of Association Executives (FSAE) - Member, speaker, contributing author COMMUNIW AFFILIATIONS Boca Raton Wine and Food Festival - Production Captain (2010, 20L1,2072), Bass Museum - Member, Environmental Coalition of Miami & the Beaches (ECOMB) - Member, icoconutgrove.com - Contributing Writer, ORGULLO Hispanic Gay Pride Celebration - volunteer and sponsor, TRANSART - volunteer and sponsor, SAVE - Young Guardian 201 # ffi N202 Francinelee Hand 203 THIS PAGE INTENTIONALLY LEFT BLANK 204 ,llr A/ r lf-\ l' r-r I l'*I'LJL, \\-i t First Name Cdlular T 3o tvlddle lnlllal City Zp Code 3 t4ct Email addres5'/4(a.\aHome Protussional Ucense (desoibe): Erflres: Please list your preferences in order of ranking [f l first c*toice [2] second chcice, and [3lthird chcice. Elgg3gtilt1] Pursuant to Clty Gode sectlon 2:ld2(la & b: Members of agencies, bmrds and cornmittees shall be affiliated wih the City. This requirement shall be futftlled in the folloring rva)6: a. An individual shall haw been a resident of the City for a minimum of six months; or b. An individual shall demonstrate ownership/interest for a minimum of six monhs in a business established in the Cityfor a minimum of six months . ,/ o Resident of Miami Beach for a minimum of six (6) months: Ycs Z6t ff" fI r Demonstrates ownerstri/interest in a business in Mia;niBeaclfor a minimum of six months: Yes GL Xo fl o Are 1ou a registered voter in Miarni Beactr,yu A4, X" F ./ o I am now a resident of: North Borch fl S""0, Beacft f]miOOle Beach W o Are you presenflyaregistered lnbb$stwiththe Cityof MhmiBeacfr?Ycr fl otXo Ef ' Board mcmben an ntpbrd to file Fonn I - 'Stebmart of Flnmclel lnbrrlf, wl0r the ffi,lf you rcet appcilntmcnt to a profrrolonal rrrt (c.9., hw1rr, rchltsct, ctc.) on thc Bord of Adurtne$ Dodgur R.vhwfBoerd, Hlrlorlc Pruerva0on Boerd or Plennlng Borrd, e6edr r oopy of your cunrn0yficflvrly f,ccnto, .nd firnbh $cfollowlng lnlbnna0on: ClUso.s\CLEROuoRDe6kho\8C APPLlCATlON.dcr Page 1 of4 205 Note: tf applying tur the Youh Cents podtbns of the Hrs and Recreations Failities Board, deaso indicate pur alflblfrm uih the Scott Rakow Youth Center and/or the North Shoe Pa*s Yo-rlh Gentel: o Please describe yulr past servioe with the Clt/s Yorth Centars (lndude dabs of seMce): r Present participation in Youth Centeraclhriti€s bypurcfiildrvrr y"s fl HofJ lf yes, please list below the names d lour cfiildlgr, their ages and lhe programs in vrttidr trsy pailicipaE: Child's name: Chits's name: Age: Program: Age:_Program: o Have you evor becn convicted ofa felony? Ycl or No lf yes, please e:elain in detail: r Do tou curenty have a violalirrr(s) of City of Mtaml Beactr Code? Vce E o, Xffif y"3, plsase e)Qlah in (btail: o Do you cuncnty owc the City d lilani Bcach any monq/l Yo E) or Xo Efn ps, erylain in detrail: o Ar€ yor,r currcnuy s6Mng on any CiU Board or commitbe? Yr EJ a xo ffn o ln what org8niza0on(s) irthe Cty of Miaml Baadi do)pu cur€nty hold rnenbershlp? . r,f,m* "HI{ Tfgfl}"lhtares{ udtnrn the c&v of Mami Beacfi: o Are you now employed by the City of Miami Beacfi? Vec F or Xo Ek Whicfi departrrnt and tiUe? o hrrrrnnt fo Cry Gode 8oc{on 2-25 (b): I}o pu have a parent employed bythe City of Miami Beach? Vec f]or rfo EI-E, "po,r"" El, .mro El u.tt", E o. r**erE uto is lf 'Yes,' identfi peraon(s) and departnent(s): .ppolntnont !t lr bclng drcd io wlth Cltydlvonfiruportlng ro$drun nt , RacclEthnb Cetcgorlol tthat ls mur raco?fuffiffi^""fI 4"6n or pacfic branderfI Nri*-e.-ican/Ameir=n tndian Thc followlng lnlbnndon lr voluntery and lr n ltlrr p.rt of your applErdon noi heo my bcerlng on yorr conrEcn0on ttor CIUloc\CLEROurRDck@\BC APPLICATION.do6 Page 2 of 4 206 f[ Otner- print Race: Do yon conslder younolf to ba Spanlrh, Hlrpanb or !a0nole? Ma* tlp'llo, bx il tpt 9panM, Hktpprlic, Lafrtp/a. 6noElv"" Do yon connldcr younrlt Phyrlcelly drUcd? KuoE Y"" IIOTE: IF APPOINTED, YOU WLL BE REQI,IRED TO FOLLOW CERTAIT{ IIIUS THAT APPLY TO GITY BOARIYOOIIITTEEIETBERS. THESE LAIYS IXGLUDE, BUTARE }IOT UIITEDTO: o Prohlition honr direcily or lndirecfly lobbying City pcrsorrrcl (Mbmi Beacfi City Cods socfin 2.059).o ftrohbi0on fiorn oonhading wih lhe City (Mianttlade Cdrnty Code socton 2-11.11.o ftohlrftion ftorn lobbying b*ro Ore rpardbornmittee you have son€d on fu pedod of me year after leeving office (itaml Beadt City Code sectiut2-%1. . 'o Requllament to dlsdce cortain financid hbrcgia and gifts (Miami-Dade County Codo Eodirn 2-11.1L o CIvts Community tlanlopment Ad\,isory Committee: prohbl0on, during tenure and b ono ylar after leaning ofioe, hom having any lnbrest in or rcoeiving any benefit fiorn Community OaAopment BloC< Gnnt fuirds fur eilher yoursdf, or tho6e wih whqn you haro business orimmediab famityties (CFR 570.611). o Sun$rine Law - Floddal Gorcmment-inthe-Sunshioe Law ms €nacbd in 1967. Today, lhG Sun$lne Law regnrdiq Acrtgov€rnment can be foud in Chaptcr ^2€E_of th8 Florida $illtss. Theac atatJbs es$li8h a basic dghl of access to rnostmetings A bcr&, commiseiqra and o0rer gonnuru bodies of s0aie and |otat go\Entmond aggq€s or anlholili€s o Voting conillcn - Form 8B is tor uso by any peron seMng at thc county, city or ofiler locd lev€l of gonmmet on en appdntod oIdecied board, cqlncil, oqnr*sion, authotity or urmitbe. lt applirs quCy to mefi5srs of advieory and nonadvlsoty bodl* .who ar€ pr€Ganbd utth a vrling conllid of inbrclt under Section 112.31€, Flodda Stdrbe. Upon nqrcd, coplcr of there lewr mayti obtalncd from the CltyGbrk. t HEREBY ATTEST TO THE ACCURACY At{D TRUTHFUIJIESS OF fiE APPUCAIOI{; AtaD I HAt E REGETVED, READ AllDWLL ABIDE BY CHAPTER 2, ARTICLE VII OF ITIE IIA,II BEAICH C]TY COOE EI{TITLED "8TAI{DAROS OF COiIDU T FOR GI T OFFICERS, EXPLOYEES AI{D AGENCY TETBERS AilD ALL OTHER APPTJCABLE COIJI{TY AIIO'OR Sf,ATE IAWI AIID Received in the Office of the CtU Oert bf Namof tleputyOe*Conbd No.tHr A COPY OF ATTIYATTACH A CURRENT RESUTIE, PHOTOGRAPH AND APPLICABLE PROFESSIONAL LICENSE. ATTACH AT'DITIONAL SHEETS, IF NECESSARV, TO PROVIDE REQUIRED INFORMATION. STATUTES ACCORDII{GLY.' C:UJld!\CtERQusRErsl@l8C APPLlcATloil.docx Page 3 of4 207 MIAMIBEACH City of *liomi Bcsch I200 Convention Cenler Drive, Miomi Beoch, Florido 33139, www.miomibeochfl.gov OFFICE OF THE CIIY CLERK C ityClerk@m io m ibeochfl. gov Telephone: 305.673.741'l Fox: 3O5.673.7254 Acknowledgement of fines/suspenslon for Board/Commifrce Members forf,allurc to complywith liaml- Dade CountyFlnanclal Dlscloaum Code Provlslon Cod. Sacilon 2.f f .t0) (2) Board tembedr Name: lunderstandthatnolaterthan@l!membersofBoardsandCornmittesofthectyd Miami Beach, induding those d a purely advisory nature, are required to comply with Miami-Dade County Flnancial Disdosure Requirements. This means that the membee of Clty Advlsory Boards, whose sole orprimary resporutibility is to reommend legislation or give advice to the City Commission, must file, even though they may have been recenty appointed. Ong-of the following forms must ba ftled with the City Clelk of Miami Beach, 1700 Conventkrn Center Drivs, Miami Beach, Florida, no laterthan 12:00 noon of July 1, of each tnar. 1. A "Source of lncorne StaEmertr 2. A "Statement of Financial lnterests (Form 1)" 3. A Copy of pur latest Federal lnoorne Tax Retum Fallurc to f,le one of these forms, purcUant to the Miami-Dade County Code, may subject the person to a fine of no more than $500, 60 days in jail or both. Updatcd: Ilursday, Doodnbor 22, 20f 6 APPL|CAT|ON.doo( 94e4of4 208 / .f ,rorrc/q-lhrl-'/p,4,rrnn _ )(r- - --r--..-. firczty 6cu u'p pr ,thaii BnacfuC-*)u h, .rtltar, t MeL S" tJ, q4Uaurs$ ,1 al,),^i B/t- A {a "tbi* [h,nA 4r rtlrJ Itw /0.1. C,/q tq o {-t r ?4/ 4aa,li,-1--lliumr B<tu!,-i *\?s,Jn.'{ t"l /&* 0{& e,',tt,a*i D"L fu'l'* U,,/" frt;Jr.e- ?21eo ,h,eoi C"h bth-{- FrJ"*" and- L O""t-Jo "r*$:, lJradu I * WWA* lJou u *$o,rh'9,2*( ),b*t - rL[ r o,fr.: b *' h5-wtitt (7a'l*^, 'ilor{ru -cd%ar*ra-r,- rt, eq,.&p-Trln Uo,,ad Ly il n n r *fu.* 9r xvv r.* i .SLr"'{r/4w lrbL'; \*a* ?l*nn 0p bn^;i"-i;,;,t' | fr*, ti\, Iff^'W v r' Jin fu ,n,,, . .[,+f, G^yb,ld A,o^, I1,ool.- /i"&^I,y lwif,t1 *sri,"j larwed 43 /*n- U,t{rt* tfun tc/u'id'e,,.- 209 210 Amy L. Rabin 211 THIS PAGE INTENTIONALLY LEFT BLANK 212 g MIAMI BEACH NAME: Rabin CITY OF M!AM!BEACH BOARD AND COMMITTEE APPLICATION FORM Amy Last Name HOME ADDRESS: ggt ttYest 28th St First Name MIAM!BEACH Middle lnitial United States 33140 Apt No. Home No./Street PHONE: (305) 7934308 (30s) 7934308 State Zip Code amyr923@bellsouth.net City Email Address Business Name: Amv Lltt Rabin position: Yoga Instructor Address: 331 w 28 st MIAMIBEACH FL 33140 Street State Zip Code Pursuant to City Code section 2-22(41a and b: Members of agencies, boards, and committees shall be affiliated with the city; this requirement shall be fulfilled in the following ways: a) an individual shall have been a resident of the city for a minimum of six months; or b) an individual shall demonstrate ownership/interest for a minimum of six months in a business established in the city. o Resident of Miami Beach for a minimum of six (6) months Yes o Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: No o Are you a registered voter in Miami Beach: Yes o (Please circle one): I am now a resident of: Middle Beach o I am applying for an appointment because I have special abilities, knowledge and experience. Please list below: re-appointment o Are you presently a registered lobbyist with the City of Miami Beach? No Please list your preferences in order of ranking [1] first choice [2] second choice, and [3] third choice. Please note that only three (3) choices will be observed by the Citv Clerk's Office. (Regular Boards of City) Ghoice 1: Human Rights Committee Choice 2: Ghoice 3: * Board members are required to file Form 1 - "Statement of Financiat lnterest" with the State. lf you seek appointment to a professional seat (e.9., Iawyer, architect, etc.) on the Board of Adjustment, Design ReviewBoard, Historic Preservation Board or Planning Board, attach a copy of your currently.effectively license, and furnish thefollowing information: Type of Professional License City License lssuance Date License Number License Expiration Date Note: lf applying for Youth Advisory Board, please indicate your affiliation with the Scott Rakow Youth Center: 1. Past service on the Youth Center Advisory Board: tr1o years of Service: 2. Present participation in Youth Center activities by your children No if yes, please list the names of your children, their ages, and which programs. List below: Child Name Age Program 213 . Have you ever been convicted of a felony: No lf yes, please explain in detail: o Do you currently have a violation(s) of City of Miami Beach codes: No lf yes, please explain in detail: . Do you currently owe the City of Miami Beach any money: No lf yes, please explain in detail: . Are you currently serving on any City Boards or Committees: Yes human rights lf yes, which board? o What organizations in the City of Miami Beach do you currently hold membership in? o I am now employed by the city of Miami Beach: No Which department? o List all properties owned or have an interest in, which are located within the City of Miami Beach: Property 33i w. zain st Gender: Female The following information is voluntary and ls nelther part of your application nor has any bearing on your consideration for appointment. lt asbeing asked to comply with federal equal opportunity reporting requirements. Race/Ethnic CategoriesWhat is your race? Mark one or more races to indicate what you consider yourself to be. White Other Description: Are you Spanish/Hispanic/ Latino? Mark the "No" box if not Spanish / Hispanic / Latino. No PhysicallyChallenged: No NOTE: lf appointed, you will be required to follow certain laws which apply to city board/committee members.These laws lnclude, but are not limited to, the following: o Prohibition from directly or indirectly lobbying city personnel (Miami Beach City Code section 2-459).o Prohibition from contracting with the city (Miami-Dade County Code section 2-11.1).o Prohibition from lobbying before board/committee you have served on for period of one year after leaving office (Miami Beach Code section 2-26).o Requirement to disclose certain financial interests and gifts (Miami-Dade County Code section 2-1 1.1). (re: CMB Community Development Advisory Committee): prohibition, during tenure and for one year after leaving office,from having any interest in or receiving any benefit from Community Development Block Grant funds for either yourself, or those with whom you have business or immediate family ties (CFR 570.61 1). Upon request, copies of these laws may be obtained from the City Clerk. 214 "l hcnby attect to the accuncy and truthfulneor of the appllcdlon and h.vo rcc.lvcd, reld .nd wlll ablde by Chapoer 2, ArtlcleVll - of ihe Clty Code "Standardr of Conduc't for Clty Offlcert, Employeer and Agency tcmbcrt." I Amy Rabln agr€ed to the followlng terms on 1/10/2019 8:30:20 PM Received in the Clty Clerk's Ofice by: Name of Deputy Clerk Control No. Date 215 Amy Litt Rabin OBJECTIVE Re-Appointment, Human Rights Committee, City of Miami Beach, FL EXPERIENCE 2016-present Yoga Instructor Tropical Vinyasa Miami Beach 2003-2015 Yoga Instructor, Green Monkey Miami Beach 2006-20L3 Board Member, Parks & Recreation Miami Beach From inception-2006 GO Bond Oversight Committee Miami Beach 2006-2008 Executive Director Sunsetlslands3&4HOA 1998-2006 President &/or Board member Sunsetlslands3 &4HOA Other Prior Experience Created Miami Beach Kids Cultural Calendar (Sy Gelber, Mayor, Cultural Forum) North Beach Elementary, Friends of North Beach, Fun Fair Chair Miami Country Day School, Yoga Instructor, Middle & Upper Schools Yoga Instructor, SRYC Lyon Frdres, Catering Sales EDUCATION L979-1983 Simmons College, Boston, MA BA, Management 1979 graduating class Palmetto High Miami, FL REFERENCES Available upon request. 216 |li'jsffif ESffiflI*1 5l1t1r ?,11'r'r 217 THIS PAGE INTENTIONALLY LEFT BLANK 218 Jefferson E. Brackin 219 THIS PAGE INTENTIONALLY LEFT BLANK 220 g MIAMIBEACH NAME: Brackin CITY OF MIAMIBEACH BOARD AND COMMITTEE APPLICATION FORM Jefferson Last Name HOME ADDRESS: 1561 West Avenue First Name Miami Beach Florida Middle lnitial 33139 Apt No. Home No./Street PHONE: 3057937662 3057937662 State Zip Code jeffersonbrackin@gmail.com City Email Address Business Name: Biscavne Associates Address: 4770 Biscayne Blvd position: Manager Florida 33143 Street City State Zip Code Pursuant to City Gode section 2-22(41a and b: Members of agencies, boards, and committees shall be affiliated with the city; this requirement shall be fulfilled in the following ways: a) an individual shall have been a resident of the city for a minimum of six months; or b) an individual shall demonstrate ownership/interest for a minimum of six months in a business established in the city. o Resident of Miami Beach for a minimum of six (6) months Yes o Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: No o Are you a registered voter in Miami Beach: No o (Please circle one): I am now a resident of: South Beach o I am applying for an appointment because I have special abilities, knowledge and experience. Please list below: Real Estate o Are you presently a registered lobbyist with the City of Miami Beach? No Please list your preferences in order of ranking [1] first choice [2] second choice, and [3] third choice. Please note that only three (3) choices will be observed bv the Gity Glerk's Office. (Regular Boards of City) Ghoice 1: Next Generation Council Choice 2: Convention Center Advisory Board Ghoice3: SustainabilityCommittee * Board members are required to file Form 1 - "statement of Financial lnterest" with the State. lf you seek appointment to a professional seat (e.9., lawyer, architect, etc.) on the Board of Adjustment, Design ReviewBoard, Historic Preservation Board or Planning Board, attach a copy of your currently-effectively license, and furnish thefollowing information: Type of Professional License License lssuance Date License Number License Expiration Date Note: lf applying for Youth Advisory Board, please indicate your affiliation with the Scott Rakow Youth Center: 1. Past service on the Youth Center Advisory Board: po years of Service: 2. Present participation in Youth Center activities by your children No if yes, please list the names of your children, their ages, and which programs. List below: 221 . Have you ever been convicted of a felony: No lf yes, please explain in detail: o Do you currently have a violation(s) of City of Miami Beach codes: No lf yes, please explain in detail: . Do you currently owe the City of Miami Beach any money: No lf yes, please explain in detail: . Are you currently serving on any City Boards or Committees: No lf yes, which board? o What organizations in the City of Miami Beach do you currently hold membership in? r I am now employed by the city of Miami Beach: No Which department? o List all properties owned or have an interest in, which are located within the City of Miami Beach: Gender: Male The following information is voluntary and is neither part of your application nor has any bearing on your consideration for appointment. lt is being asked to comply with federat equal opportunaty reporting requirements. Race/Ethnic CategoriesWhat is your race? Mark one or more races to indicate what you consider yourself to be. White Other Description: Are you Spanish/Hispanic/ Latino? Mark the "No" box if not Spanish / Hispanic / Latino. No PhysicallyChallenged: No NOTE: lf appointed, you will be required to follow certain laws which apply to city board/committee members. These laws lnclude, but are not limited to, the followlng: o Prohibition from directly or indirectly lobbying city personnel (Miami Beach City Code section 2-459).o Prohibition from contracting with the city (Miami-Dade County Code section 2-11.1).o Prohibition from lobbying before board/committee you have served on for period of one year after leaving office (Miami Beach Code section 2-26).o Requirement to disclose certain financial interests and gifls (Miami-Dade County Code section 2-1 1 .1 ).(re: CMB Community Development Advisory Committee): prohibition, during tenure and for one year after leaving office, from having any interest in or receiving any benefit from Community Development Block Grant funds for either yourself, or those with whom you have business or immediate family ties (CFR 570.61 1). Upon request, copies of these laws may be obtained from the Clty Clerk. "l hereby attest to the accuracy and truthfulness of the application and have recelved, read and wlll ablde by Chapter 2, Article VII - of the City Code "Standards of Conduct for City Officers, Employees and Agency Members." I Jefferson Brackin agreed to the following terms on 111612018 10:09:!4 PM Received in the City Clerk's Office by: Name of Deputy Clerk Control No.Date 222 Jefferson E. Brackin 1561 West Avenue Miami Beach, FL 33139 | C: (305) 793-7662ljeffersonbrackin@gmail.com Professional Summary Building a career in the real estate, hospitality and tourism industry structured around frnance, customer service and entrepreneurship. Experience Manager 0912016 - Present Biscayne Associates Miami, FL Providing a broad range of real estate related advisory services including investment sales, acquisitions and asset management. Associate 08/2015 -0912016HCMAIKW Properties Miami, FL Developed expertise in hospitality and real estate investments with focus on repositioning of multifamily acquisitions both locally and nationally. Housekeeping Supervisor 0812014 - 08/2015 Shelborne Wyndham Grand Miami, FL Established housekeeping deparhnent preopening and directed first year in operation after $90 million renovation. Management Training Internship lll20l3 - 0612014 Four Seasons Hotels and Resorts Miami, FL Received management training in a variety of F&B outlets. Worked closely with senior management in learning functional administrative skills. Assistant Director 0ll20ll - 0512012 Torch LLC Charleston, SC Created and managed a unique and excited customer experience in a high traffic, tourist destination area of Charleston, South Carolina. Research Technician 01/2008 - 0512009 Baptist Health South Florida Miami, FL Research Technician - Total Cancer Care Program, Moffitt Cancer Center. Education Florida International University Hollo School of Real Estate Master in Science in International Real Estate, MSIRE Candidate Florida International University Chaplin School of Hospitality and Tourism Management Master of Science: Hospitality and Tourism Management Chair of Hospitality Student Leadership Council College of Charleston 2012 Bachelor's Degree: Spanish 223 224 Wesley G. Kean 225 THIS PAGE INTENTIONALLY LEFT BLANK 226 g MIAMIBEACH NAME: Kean CITY OF MIAMI BEACH BOARD AND COMMITTEE APPLICATION FORM Wesley c Last Name First Name Middle lnitial HOME ADDRESS: 9101 E Bay Harbor Dr., #601 Bay Harbor lslands United States 3315.1 Apt No. Home No./Street City PHONE: 7863290029 3053593669 State Zip Code wesley@kodamiami.com Home Work Business Name: KoDA position: Architect Address: 350 Lincoln Rd.Miami Beach FL 33139 Email Address Street State Zip Code Pursuant to City Code section 2-22(4) a and b: Members of agencies, boards, and committees shall be affiliated with the city; this requirement shall be fulfilled in the following ways: a) an individual shall have been a resident of the city for a minimum of six months; or b) an individual shall demonstrate ownership/interest for a minimum of six months in a business established in the city. o Resident of Miami Beach for a minimum of six (6) months No. Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: Yes o Are you a registered voter in Miami Beach: No o (Please circle one): I am now a resident of: o I am applying for an appointment because I have special abilities, knowledge and experience. Please list below: I am an architect with my own practice in Miami Beach. My office specializes in using architecture to reconnect people with nat o Are you presently a registered lobbyist with the City of Miami Beach? No Please list your preferences in order of ranking [1] first choice [2] second choice, and [3] third choice. Please note that only three (3) choices will be observed bv the City Clerk's Office. (Regular Boards of City) Choice 1: Next Generation Council Choice2: SustainabilityCommittee Choice 3: CulturalArts Council * Board members are required to file Form 1 - "statement of Financial lnterest" with the State. lf you seek appointment to a professiona! seat (e.9., lawyer, architect, etc.) on the Board of Adjustment, Design ReviewBoard, Historic Preservation Board or Planning Board, attach a copy of your currently-effectively license, and furnish thefollowing information: Type of Professional License License Number License Expiration DateLicense lssuance Date Note: lf applying for Youth Advisory Board, please indicate your affiliation with the Scott Rakow Youth Center: 1. Past service on the Youth Center Advisory Board: 11o years of Service: 2. Present participation in Youth Center activities by your children No if yes, please list the names of your children, their ages, and which programs. List below: City 227 . Have you ever been convicted ofa felony: No lf yes, please explain in detail: o Do you currently have a violation(s) of City of Miami Beach codes: No lf yes, please explain in detail: o Do you currently owe the City of Miami Beach any money: No lf yes, please explain in detail: o Are you currently serving on any City Boards or Commiftees: No lf yes, which board? o What organizations in the City of Miami Beach do you currently hold membership in? o I am now employed by the city of Miami Beach: No Which department? o List all properties owned or have an interest in, which are located within the City of Miami Beach: Gender: none The following information is voluntary and is neither part of your application nor has any bearing on your consideration for appointment. lt is being asked to comply with federal equal opportunity reporting requirements. Race/Ethnic CategoriesWhat is your race? Mark one or more races to indicate what you consider yourself to be. none Other Description: Are you Spanish/Hispanic/ Latino? Mark the "No" box if not Spanish / Hispanic / Latino. No PhysicallyChallenged: No NOTE: lf appointed, you will be required to follow certaln laws which apply to city board/committee membere., These laws lnclude, but are not llmited to, the following: o Prohibition from directly or indirectly lobbying city personnel (Miami Beach City Code section 2-459).o Prohibition from contracting with the city (Miami-Dade County Code section 2-11.1).o Prohibition from lobbying before board/commiftee you have served on for period of one year after leaving office (Miami Beach Code section 2-26).o Requirement to disclose certain financial interests and gifts (Miami-Dade County Code section 2-1 1.1). (re: CMB Community Development Advisory Committee): prohibition, during tenure and for one year after leaving officr, from having any interest in or receiving any benefit from Community Development Block Grant funds for either yourcelf, or those with whom you have business or immediate family ties (CFR 570.611). Upon request, copies of these laws may be obtained from the City Clerk. "! hereby attest to the accuracy and truthfulness of the appllcatlon and have received, read and wlll ablde by Chapter 2, Artlcle Vll - of the City Code "Standards of Conduct for Clty Officers, Employees and Agency Members." I Wesley Kean agreed to the following terms on 121512018 3:26:41 PM Received in the City Clerk's Office by: Name of Deputy Clerk Control No.Date 228 WESLEY CHRISTOPHER KEAN 9101 E. Boy Horbor Dr.,#6O1 Boy Horbor lslonds, FL 33154 305-359-3669 wesley@kodomiomi.com EDUCATION University of Miomi, Corol Gobles, FL Groduoted Moy 2OIO Bochelor of Architecture, 2010OverollGPA:3.70 Minor in Art,2OlO University of Miomiin Rome: Urbon Design, Theory ond History of Architecture Progrom, Spring 2OO9 PROFESSIONAL REGISTRATION Registered Architect FL: AR97B86 Registered Architect CO: 00404759 NCARB #516373 ArA #3804s8r9 MEMBERSHIPS Americon lnstitute of Architects Moke q Wish Foundotion, Chompion Miomi Music Project, Soundboord Member City of Boy Horbor lslqnds, Plonning ond Zoning Boord EXPERIENCE Keon Office for Design + Architecture, lnc, Miomi FL Principol, October 2OI5-Present Etnio Borcelono Showroom Little Hoiti, Miomi, Florido 2016 Construction Cost: S3OO.OOOHired by internotionol eyeweor brond to develop their Miomi, FL distribution ond retoil center. Provided Architecturol servlces for o 4,000 SF mixed use, office E retoil, building. MiomiCircle Boyfront Pork, Miomi, Florido 2018 Construction Cost: 53.500.000 Controcted by the Florido Power E Light Compony to design o 24,394 SF solor povilion roof to disploy ond showcose the energy hornessed by the sun throughout the doy. Provided Architecturol design services, which included meetings with the Moyor of Miomi, Executive Director of the Boyfront Trust os well os the Executive Director of Live Notion, Miomi. Codeno Residence Coconut Grove, Florido 2OI8 Construction Cost: S8.5OO.OOO Provided Architecturol Design Services ond sub-controcted structurol, mechonicol, electricol, plumbing, civil qnd pool engineering consultonts for the design ond construction of o 8,346 SF house in Coconut Grove, FL. Apizzo Brooklyn Miomi, Florido 2018 Construction Cost: 5200,000Provided Architecturol Design Services ond sub-controcted mechonlcol, electricol, plumbing, ond kitchen consultonts for the design ond construction of o 4,000 SF Brooklyn-inspired restouront in Miomi, FL. 229 lG Architecture, Miomi FL Studio Director/ Project Architect, December ?OI?- October 2OI5 Vido ot The Point Townhomes Aventuro, Florido 2018 Construction Cost: 53.500.000 Project Architect for o new 21,OO0 SF townhome development. These high-end luxury units hove privote reoryords ond in some coses o rooftop terroce. The project teom worked to procure City of Aventuro Site Plon Approvol. Bol Boy South Bol Horbor lslonds, Florido 2OI8 Construction Cost: 56.5OO.O0O Project Architect for o new 12,OOO SF residence focing the introcoostol. The building wos developed to surroundo courtyord with most of its tronsporency towords the introcoostol. The project teom developed the orchitecturol design, interior design. Luno Rosso Residence Boy Horbor lslonds, Florido 2016 Construction Cost: 53.5OO.O0OProject Architect for o new 5,OOO SF residence focing the introcoostol. The porti wos developed oround o centrol courlyord -o typicol Florido home motif. The project teom developed the orchitecturol design, interior design. Center lslond Residence Golden Beoch, Florido 2015 Construction Cost: 54.500.000 Project Architect for o new 8,OOO SF residence focing the introcoostol. The house wos conceived oround the ideo of the fomily ot the center. Designed for on Argentinion fomily, the Porrillo is the focus ond wos therefore ploced ot the center of the home helping to divide the moin privote functions from the more public. The project teom developed the orchitecturol design, interior design os well os odministering the construction to ensure design delivery. Woodcrest Residence Key Biscoyne, Florido 2OI4 Construction Cost: 52.8OO.O0O Project Architect for o new 4,800 SF residence in Key Biscoyne. The house wos developed to engoge with its surroundings to blend seomlessly with the londscope. The project teom developed the orchitecturol design, interior design os well os odministering the construction to ensure design delivery Bollontroe Ct. Residence Boco Roton, Florido 2013 Construction Cost: SIO.OO0.0O0 Project Architect for o new I2,0OO SF residence on St. Andrews Country Club focing the golf course. The contemporory design tokes its inspirotion from the exponsive noture of the course, extending the interior spoces out to the londscope ond bringing the exterior in. The project teom worked through the completion of construction to ensure design delivery. Shulmon +Associotes, Miomi FL Designer/ Project Monoger, Moy 2OIO-December 2O12 The Byobu House Miomi Beoch, Florido 2012 Construction Cost: 58.OOO.O00 Leod Designer/Project Monoger for o new 7,2OO SF residence on Biscoyne Boy focing downtown Miomi. The contemporory design tokes its inspirotion from the tropicol necessities of light, oir ond tronsporency. The project teom worked to procure City of Miomi Beoch design opprovols. 230 The lmpluvium House Miomi, Florido 2Ol2 Construction Cost: 52.00O.OOO Project Monoger for o substontiol renovotion ond oddition to on existing home locoted close to Biscoyne Boy. The home is designed to moximize noturol light os well os orgonize the moin living spoces oround o pool ond lush londscope. The project is currently under construction. South Seos Beoch House Miomi Beoch, Florido 2Oll Construction Cost S2B.OOO.OOO Leod Designer/Project Monoger for the complete restorotion ond renovotion of the existing 9 story 49,635 SF historicol oceonfront hotel. The project includes the oddition of o new 8 story structure on the West side of the existing hotel to copture the oceon views for o totol of 68,950 SF of 118 hotel rooms, increosed omenities, on enclosed courtyord ond o 2 story pool side cobono. The Sovoy ond Arlington Hotels Miomi Beoch, Florido 2OLL Construction Cost: TBD Leod Designer/Project Monoger of the complete restorotion ond renovotion of two historic structures ond the oddition of four new building components with over 8I,000 SF of new residentiol ond commerciol spoce. The overoll complex Wll constitute o 145,000 SF boutique hotel with I34 units. Collins Plozo Hotel Miomi Beoch, Florido 2Oll Construction Cost, SISOO.OOO Project Monoger for the complete restorotion of o historic lobby retrofitted to contoin o new bor ond lounge. The project teom worked with the owner to procure City of Miomi Beoch design opprovol while serving os design & historic preservotion consultont. The Avolon Hotel Miomi Beoch, Florido 2011 Construction Cost: TBD Leod Designer/Project Monoger for the complete restorotion ond renovotion of the 23,313 SF historic Oceon Drive hotel. The project includes the tronsformotion of 3 ground floor hotel rooms into on upgroded kitchen ond on increose in omenities which include o new lobby, o new green screen trellis over on existing side yord ond new window systems. The Povilion House Colee Hommock, Fort Louderdole Florido 2011 Construction Cost: 52.8OO.O0O Project Monoger for o sustoinoble home locoted in o tropicol coostol hommock in Fort Louderdole. The home is designed to treod lightly on its site ond surroundings with its focus on minimizing its impoct on the environment. The project is currently under construction. The Sterling Building Miomi Beoch, Florido 2O1O Construction Cost TBD Leod Designer/Project Monoger of the 28,000 SF restorotion ond retrofit of the historic retoil building on Lincoln Rood. The project hos 3 stories of retoil with the second hovering over the existing historic Books E Books building. The project teom worked with owner ond zoning ottorney to procure City of Miomi Beoch design opprovol. The Lincoln Theotre (HAM) Miomi Beoch, Florido 2O1O Construction Cost: Sl5.600.OOO Design Coordinotor for the renovotion, interior remodeling ond exponsion of o historic building into o retoil spoce The project teom worked with owner to procure City of Miomi Beoch design opprovol ond loter served os Design Consultont for retoil tenont H&M. 231 Roymond Jungles lncorporoted, Miomi FL Design lntern, Jonuory 2OI0- Moy 2010 Drofted sections of hordscope detoils Routine site visits to coordinote with controctor Worked with design teoms to prepore for meetings with clients Prepored ln-Design client presentotions Esvedro Fumiture Design, MiomiFL Design lntern, October 2OO8- Jonuory 2OO9 Ordered ond verified necessory moteriols ond equipment from suppliers Schemotic design of new collection for potentiol clients Worked on soles in showroom Hilton VonderHom Architects, Greenwich, CT Architecturol lntern, Moy 2007-August 2007 Assisted in the monogement of sheet sets for submittol to building deportments, ossociotions, controctors, ond clients Worked with project monogers to prepore for meetings with clients ond controctors Utilized AutoCAD ond Adobe Photoshop for drofting ond rendering John C Keon E Sons Building ond Remodeling, Loconio, NH Builder/Corpenter, Moy 2OO3-August 2OO5 Utilized AutoCAD for drofting of os-built/demo floor plons, exterior elevotions, Worked on commerciol projects including concert venue ond lumber yord Leorned to bid pro.jects bosed on cost of moteriols ond lobor DESIGN COMPETITIONS "Comivol'A Floot for o Community, Borronquillo, CO 2010 Project Teom: Wesley Keon "Downtown' Seoplone Terminol Competition, Miomi FL, 2OU Project Teom: Wesley Keon, Peter Anselmo, Jose Novolujombo Honoroble Mention htto://ww.bustler.net/index.ohp./orticle/check out the 2OlO downtown-miomi,entrjes/ 'Reimogining the Citf Tropic Mogozine, Ft. Louderdole FL, 2OI2 Project Teom: Wesley Keon, Allon Shulmon, Mike Golleo, Brond Gonzolez Honoroble Mention htto:,/,/www.oowersschrom.com/news/pdf s,/Troorc Vllloge%2OScene orticle.odf AWARDS/ACTIVITIES BUILD Architecture Awords - 2OI8 Best lnternotionolContemporory Design Studio BUILD Architecture Awords - 20IB Most lnnovotive retoil showroom project AIA Miomi Honor Aword of Excellence 2Ol7 Unbuilt, Boyfront Circle AIA Mlomi Honor Aword of Excellence 2Ol7 lnterior Architecture, Etnio Borcelono AIA Florido Merit Aword of Excellence ?OL7, Unbuilt, Aviotion Design Center Best of Nouzz Service Aword, 2Ol7 AIA Miomi Honor Aword of Excellence 2016 Unbuilt, Etnio Borcelono University of Miomi School of Architecture: Undergroduote Student Aword. 2O1O 232 +,cc)E =UoE.9- othfo o(,.thCCFo,6.e 6+, .=rgtYo,tr_c3EOdr']c ztJt O L.([(ur-go (g !F +r=O.Ec3o(oo=) .q! oi(hC0,.g fo .ta .ah O\cEb.:g 6lc(\8 dq 3od+oalrl z-ILE HETHzyob F- d'=o.9ilt3 zo-Fs\J2,;a t-ly, lnIJJ =d,rrilJ X =t tg 321 5 d $ 8H 73[ EEItro &;s O;si6i t =E tE*= =e =i$ df E1"8 Ei6 1= ;6 6 i3 fiF o += Yfr x, F? =8u, o.lrlo I- .@-EN€('o d hdUlrl(n EIU Nz-Fzq d.ozd.IJJ ou EoU<hYId. 233 234 Dr. Susanne Demmerle 235 THIS PAGE INTENTIONALLY LEFT BLANK 236 g MIAMIBEACH NAME: Dr. Demmerle CITY OF MIAMI BEACH BOARD AND COMMITTEE APPLICATION FORM Susanne Last Name HOME ADDRESS: 1155 N Shore Drive First Name Miami Beach Florida Middle lnitial 33141 Apt No. Home No./Street PHONE: 8036293466 State Zip Code sd.demmerle@gmail.com City Home Work Email Address Business Name: Address: position: Acupucture Physiclan Street City State Zip Code Pursuant to City Code section 2-22(41a and b: Members of agencies, boards, and committees shall be affiliated with the city; this requirement shall be fulfilled in the following ways: a) an individual shall have been a resident of the city for a minimum of six months; or b) an individual shall demonstrate ownership/interest for a minimum of six months in a business established in the city. o Resident of Miami Beach for a minimum of six (6) months Yes o Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: No o Are you a registered voter in Miami Beach: Yes o (Please circle one): I am now a resident of: North Beach o I am applying for an appointment because I have special abilities, knowledge and experience. Please list below: I am a good listener, willing to learn and care greatly about the welfare of my community by improving health, safety and well b o Are you presently a registered lobbyist with the City of Miami Beach? No Please list your preferences in order of ranking [1] first choice [2] second choice, and [3] third choice. Please note that only three (3) choices will be observed by the City Glerk's Office. (Regular Boards of City) Choice 1: Normandy Shores Local Government Neighborhood lmprovement Choice 2: Health Advisory Committee Choice3: Police/CitizensRelationsCommittee * Board members are required to file Form 1 - "statement of Financia! Interest" with the State. lf you seek appointment to a professional seat (e.9., lawyer, architect, etc.) on the Board of Adjustment, Design ReviewBoard, Historic Preservation Board or Planning Board, attach a copy of your currently+ffectively license, and furnish thefollowing information: Type of Professional License License lssuance Date License Number License Expiration Date Note: lf applying for Youth Advisory Board, please indicate your affiliation with the Scott Rakow Youth Center: 1. Past service on the Youth Center Advisory Board: 1o years of Service: 2. Present participation in Youth Center activities by your children No if yes, please list the names of your children, their ages, and which programs. List below: 237 . Have you ever been convicted of a felony: No lf yes, please explain in detail: r Do you currently have a violation(s) of City of Miami Beach codes: No lf yes, please explain in detail: o Do you currently owe the City of Miami Beach any money: No lf yes, please explain in detail: o Are you currently serving on any City Boards or Committees: Yes Normandy Shore HOA lf yes, which board? o What organizations in the City of Miami Beach do you currently hold membership in? o I am now employed by the city of Miami Beach: No Which department? o List all properties owned or have an interest in, which are located within the City of Miami Beach: Property 't155 N Shore Drive Gender: none The following information is voluntary and is neither part of your apptication nor has any bearing on your consideration for appointment. lt is being asked to comply with federal equal opportunity reporting requirements. Race/Ethnic Categories What is your race? Mark one or more races to indicate what you consider yourself to be. none Other Description: Are you Spanish/Hispanic/ Latino? Mark the "No" box if not Spanish / Hispanic / Latino. No PhysicallyChallenged: No NOTE: lf appolnted, you wlll be requlred to follow certain laws which apply to clty board/commlttee members.These laws include, but are not limited to, the following: o Prohibition from directly or indirectly lobbying city personnel (Miami Beach City Code section 2-459).o Prohibition from contracting with the city (Miami-Dade County Code section 2-'11.1).o Prohibition from lobbying before board/committee you have served on for period of one year afler leaving office (Miami Beach Code section 2-26).o Requirement to disclose certain financial interests and gifts (MiamiDade County Code section 2-1 1 .1). (re: CMB Community Development Advisory Committee): prohibition, during tenure and for one year after leaving office, from having any interest in or receiving any benefit from Community Development Block Grant funds for either yourself, or those with whom you have business or immediate family ties (CFR 570.611). Upon request, copies of these laws may be obtained from the City Clerk, 238 "l heruby attest to the accuracy and truthfulner of the appllcatlon and havo rccelved, rsad and wlll ablde by Chapter 2, ArtlcleVll - of the Clty Code "Standardr of Conduci ior Clty O{frcorc, Employeer and Agency tombor." I Suranne Dr. Demmerle agrued to the followlng terms on 11151207E 2:01 :09 Pt Received in the City Clerk's Ofilce by: Name of Deputy Clerk Control No. Date 239 Susanne Demmerle, PhD 1155 North Shore Drive r Miami Beach, Florida 33141r USAe +1 803 629 3466 (Cell) o sd.acupunct.omw@gmail.com Academic Degrees and Licenses . Dipl. OM (NCCAOM),2018o A.P. Licensed Acupuncturist, 2018 (FL License # AP 3947). M.Ac. Licensed Acupuncturist,2014 (MD License # U02155)o Licensed Massage Therapist, 2009 (MD License # M04665). License of Veterinary Practice (Approbation), Bavaria, Germany, 1987o DoctorThesis in Veterinary Medicine, Munich, Germany, 1989o Bachelors of Veterinary Medicine, Faculty of Veterinary Medicine, University of Alexandria - Alexandria, Egypt, 1 986 Professional Experience Maryland University of lntegrative Health, Laurel, Maryland, USA Doctorate Degree in Acupuncture and Oriental Medicine (DOAM) Volunteer at the Department of Veterans Affairs Medical Center, Washington, DC 2015 -2017 2017 Volunteer and Assistant to Michelle Gilles (Facial Acupuncture and Rejuvenation) 2015 -2017 Maryland University of lntegrative Health, Laurel, Maryland, USA 2011 -2015 Master of Acupuncture and Chinese Herbal Medicine N6nuphar Therapeutic Massage & Wellness, LLG - Columbia, South Carolina, USA 2009 Founder & Business owner: providing service in Medical Massage Therapy, Deep Tissue Massage, Neuromuscular Massage, Swedish Massage, Trigger Point Release, Chair Massage, Cranio-SacralTherapy, and Reiki. Midlands Technical College - Columbia, South Carolina, USA 2008 - 2009 Completed Clinical Massage Therapy Program. College of Veterinary Medicine, Michigan State University - East Lansing, Michigan, USA 2005 Research in Molecular Biology: Preparation of RNA extraction, c-DNA Synthesis, gel electrophoresis, and mRNA isolation. Laboratory of Xenobiotics of "lnstitut National de la Recherche Agronomique" - Toulouse, France 2003 -2004 Study of rn wtro hepatic biotransformation of surfactants at the subcellular level. The project was sponsored by the "Environmental Risk Assessment and Management". 240 Laboratory of Cellular Biology, Department of Molecular Structural Biology, Gentre d'Etudes Nucl6aires de Grenoble - Grenoble, France 1993 Post-doctoral research on the effect of polycyclic aromatic hydrocarbons, i.e. Benzo(a)pyrene, on the endocytosis of the social amoeba,'Dictyostelium discoideum'. Virginia lnstitute of Marine Science, The College of William & Mary - Gloucester Point, Virginia, USA 1990 - 1992 Post-doctoral studies on the effects of environmental pollutants such as polycyclic aromatic hydrocarbons on the immune system of aquatic animals with the help of immuno-toxicological techniques and long-term cell cultures. lnstitute of Zoology and Hydrobiology, Faculty of Veterinary Medicine, Ludwig-Maximilian University - Munich, Germany 1986 - 1989 Thesis and post-gradualstudies on morphological, bacteriologicaland immunological levelon the pathogenesis of Glomerulonephritis in Rainbow trout with Bacterial kidney disease. lntensive training in histopathology, light and electron microscopy, and immunopathological methods. Practiced the isolation and identification of viruses of cold-blooded vertebrates using gel-electrophoresis and immuno-fluorescence techniques. German Veterinary MedicalAuthorities - Bavaria, Germany 1987 License of Veterinary Medicine Practice (Approbation) Faculty of Veterinary Medicine, University of Alexandria - Alexandria, Egypt 1981 - 1986 Bachelor Degree in Veterinary Medicine. Personal Data Date of Birth: August 25, 1962 Nationality : U S citizen Family Sfatus: manied, three children Hobbies: Badminton, swimming, reading, Languages: German, Mother tongue. Fluently in English, French and Arabic. 241 .#{k ',fr trl-.*-..*-*' , 242 Diane Klein 243 THIS PAGE INTENTIONALLY LEFT BLANK 244 C MIAMIBEACH NAME: Klein CITY OF MIAMIBEACH BOARD AND COMMITTEE APPLICATION FORM Diane Last Name HOME ADDRESS: Z6S South Shore Dr First Name Miami Beach Fl Middle lnitial 33141 Apt No. Home No./Street PHONE: 305'905'2241 City kdiane@nova.edu State Zip Code Home Work Position: Email Address Business Name: Address: Street City State Zip Code Pursuant to City Code section 2-22(41a and b: Members of agencies, boards, and committees shall be affiliated with the city; this requirement shall be fulfilled in the following ways: a) an individual shall have been a resident of the city for a minimum of six months; or b) an individual shall demonstrate ownership/interest for a minimum of six months in a business established in the city. o Resident of Miami Beach for a minimum of six (6) months Yes o Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: No o Are you a registered voter in Miami Beach: Yes o (Please circle one): I am now a resident of: North Beach o I am applying for an appointment because I have special abilities, knowledge and experience. Please list below: Been on the Normandy Shores Home Association for 3 years and a beach resident my whole life. o Are you presently a registered lobbyist with the City of Miami Beach? No Please list your preferences in order of ranking [1] first choice [2] second choice, and [3] third choice. Please note that only three (3]choices will be observed by the Gity Clerk's Office. (Regular Boards of City) Choice 1: Normandy Shores Local Government Neighborhood lmprovement Choice 2: Choice 3: * Board members are required to file Form 1 - "statement of Financiat tnterest" with the State. lf you seek appointment to a professional seat (e.9., lawyer, architect, etc.) on the Board of Adjustment, Design ReviewBoard, Historic Preservation Board or Planning Board, attach a copy of your currently+ffectively license, and furnish thefollowing information: Type of Professional License License Number License Expiration DateLicense lssuance Date Note: lf applying for Youth Advisory Board, please indicate your affiliation with the Scott Rakow Youth Center: 1. Past service on the Youth Center Advisory Board: po years of Service: 2. Present participation in Youth Center activities by your children No if yes, please list the names of your children, their ages, and which programs. List below: 245 . Have you ever been convicted of a felony: No lf yes, please explain in detail: o Do you currently have a violation(s) of City of Miami Beach codes: No lf yes, please explain in detail: o Do you currently owe the City of Miami Beach any money: No lf yes, please explain in detail: o Are you currently serving on any City Boards or Committees: No lf yes, which board? o What organizations in the City of Miami Beach do you currently hold membership in? o I am now employed by the city of Miami Beach: No Which department? o List all properties owned or have an interest in, which are located within the City of Miami Beach: Property 765 South Shore Gender: Female The following information is voluntary and is neither part of your application nor has any bearing on your consideration for appointment. lt isbeing asked to comply with federal equal opportunity reporting requirements. Race/Ethnic CategoriesWhat is your race? Mark one or more races to indicate what you consider yourself to be. White Other Description: Are you Spanish/Hispanic/ Latino? Mark the "No" box if not Spanish / Hispanic / Latino. No PhysicallyChallenged: No NOTE: lf appointed, you will be required to follow certain laws which apply to city board/committee members,These laws include, but are not limited to, the following: o Prohibition from directly or indirectly lobbying city personnel (Miami Beach City Code section 2-459).o Prohibition from contracting with the city (Miami-Dade County Code section 2-11.1).o Prohibition from lobbying before board/committee you have served on for period of one year after leaving office (Miami Beach Code section 2-26).o Requirement to disclose certain financial interests and gifts (Miami-Dade County Code section 2-1 1.1 ).(re: CMB Community Development Advisory Committee): prohibition, during tenure and for one year after leaving office, from having any interest in or receiving any benefit from Community Development Block Grant funds for either yourself, or those with whom you have business or immediate family ties (CFR 570.61 1). Upon request, copies of these laws may be obtained from the Gity Clerk, 246 "! hereby attest to the accuracy and truthfulness of the appllcatlon and have recelved, read and wlll ablde by Chapter 2, ArtlcleVll - of the Clty Code "Standards of Conduct for Cllr Offlcers, Employees and Agency Members." I Diane Klein agreed to the following terms on 111512018 2:58:38 PM Received in the City Clerk's Office by: Name of Deputy Clerk Control No. Date 247 Diane Klein 765 South Shore Drive, Miami Beach FL 33141 (305) 905-2241 kleindiane93S@gmail.com September 29,2017 Re: Campus Director of Advisement and Career Services Dear Hiring Director, After reviewing Campus Director of Advisement and Career Services position at Miami Dade College and I am very interested is very exciting opportunity. From my knowledge of Miami Dade College is the largest college in the United States and awards more Associate Degrees to Hispanics and African Americans. As you can see from my resume, my recent experience as the Associate Director of Career Development has allowed me to develop the skills and abilities for this position. [n reading the job description, I have highlighted some qualifications that will benefit your department, for example:o Developed over 1500 active relations with employers to recruit students and alumnio Oversee two office that see over 1200 students ayearo Work with faculty and administrator partners to share job and internship information with studento Oversaw countless programs and development new and create ways to recruit students through case competitions With my experience in working for the Career Development at NSU I feel that I can definitely be a benefit to your department at Miami Dade College. If you have any questions or concerns, please feel free to contact me at (305) 905-224L.I look forward to hearing from you in the near future and scheduling sometime to meet at and the possible discussion of a future with your great college. Thank You, Diane Klein 248 Diane Klein 765 South Shore Drive, Miami Beach FL 33141 (305) 905-2241 kleindiane93S@gmail.comEpuclrrox Masters of Science in College Student Affairs June 2008 Concentration in Confl ict Resolution Nova Southeastern University, Fort Lauderdale, FL Bachelor of Science in Psychology Major: Psychology June 2006 Nova Southeastem University, Fort Lauderdale, FL PnornssroNu- ExpBnTENCE Associate Director of Career Development March 2014-Present Nova Southeastem University; Fort Lauderdale, FLo Manage all daily operations of two Career Centers which sees over 1500 students and alumni a yeato Oversee all daily responsibilities for Employer Relations team which consists of over 250 partnerships, 40 employer related programs per year including two major Career Fairs with over 70 employers and 500 student and alumni participantso Managed or assisting in over 20 employer related programs such as; networking events, case competition, information sessions, site visits and panel discussions, etc.o Built relationships with over 1500 locaVnationaVinternational organizations such as; DHL, Citrix, Office Depot, Enterprise and City Furniture to recruit NSU studento Directly manage 2 full-time staff members; Assistant Director of Employer Relations Internships and Administrative Coordinator I and 9 students workerso Create and assist in overseeing Career Development budget of over $76,000.00o Collect and manage sponsorship program with over $20,000.00 in donations a yearo Co-Chaired Internship Working Group with faculty representation from our 6 undergraduate serving colleges that developed new process for undergraduate students in obtaining an internship for academic credito Assist in the supervision of 7 Graduate assistants in the areas of Career Advisement, Employer Relations and First Year Experienceo Collect and provide all research Employer Relations data for reporting Assistant Director of Employer Relations and Internships July 2008-March 2014 Nova Southeastem University; Fort Lauderdale, FLo Developed comprehensive and centralized internship program for university undergraduate and graduate studentso Created and manage Career Developments sponsorship program and gain donations from a variety of organizationso Collaborate with Academic Advisors and Faculty to create stream line internship process for students to gain academic credit to internshipso Established guidelines for NSU Internship Program from: Employer Contract, Evaluations and Internship Student Experience Outcomeso Visit employment and internship site locations to meet with employers and check out work environments for studentso Organize a variety of internship on campus recruiting events such as; information sessions, meet and greets and networking events 249 o Create workshops based on different internship topics such as; "Internship 101", "How do I gain an internship", "lnternational Internships Search" Graduate Assistant for Housing August 2007 - May 2008 Nova Southeastern University; Fort Lauderdale, FLo Oversaw and operate the off-campus program for the Office of Residential Life and Housingo Managed the database and website for the off-campus housing program in conjunction with Off-Campus Housing 101o Meet with students, faculty and staff to help them with their off-campus housing needso Work and meets with local rental communities/rental companies to provide information about off-campus housing services and resourceso Assist the Director of Housing with research projects about on and off-campus housing trends. Help publish the annual Off-Campus Housing Guide and all promotional items dealing with Nova Southeastern University off-campus housing programo Market and collect over $32,000 in advertising income for the Office of Residential Life and Housingo Coordinate three Off-Campus Housing Fairs, the Annual Block Painting ParW, World AIDS Day, and Wall of Hate Project. Graduate Assistant for Student and Community Relations Aug. 2006 - Aug. 2007 Nova Southeastern University; Fort Lauderdale, FLo Assisted with planning, marketing, and organizing large scale campus events such as Welcome Week, Homecoming, Hollywood Squares and Life 101 on campuso Created an NSU l0% Discount Card with over 17 vendors for all NSU students. Worked with undergraduate and graduate organizations to assist them with planning there programs and developing ways to get funding Practicum Experience Center for Community Involvement Sept. 2007 - Dec. 2007 Miami-Dade College; Miami, FLo Facilitated over three service learning and community involvement programs at Miami-Dade Community Collegeo Assisted with community outreach program to high school students in the surrounding area of Miami Dade Countyo Provided research for new service grant for Miami-Dade Community College. Helped with the creation of new marketing for Community Involvement Programs Office of Orientation and Commuter Services Jan.2008-April2008 Florida International University; Miami, FLo Facilitated and participated in training with new and returning Peer Advisorso Provided vital research for the Orientation and Commuter Service Officeo Worked on planning and organizing the summer orientationo Helped with creation of new policies and procedures for Peer Advisors Membershipso SOACEo NACE 250 251 THIS PAGE INTENTIONALLY LEFT BLANK 252 Garmen M. Brown 253 THIS PAGE INTENTIONALLY LEFT BLANK 254 g AAIAAAIBTACH NAME: Browne CITY OF MIAMIBEACH BOARD AND CCIMMITTEE APPLICA,TION FORM Garmen u Last Name HOME ADDRESS: 575 North Shore Drive First Name Miami Beach FL Middle lnitial 33141 Apt No. Home No./Street State Zip Code carmenmbrowne@gmail.com City PHONE: Home Work Email Address Business Name: Address: position: Self-Employed Street State Zip Code Pursuant to City Code section 2-22(41a and b: Members of agencies, boards, and committees shall be affiliated with the city; this requirement shall be fulfilled in the following ways: a) an individual shall have been a resident of the city for a minimum of six months; or b) an individual shall demonstrate ownership/interest for a minimum of six months in a business established in the city. o Resident of Miami Beach for a minimum of six (6) months Yes o Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: Yes o Are you a registered voter in Miami Beach: Yes o (Please circle one): I am now a resident of: North Beach o I am applying for an appointment because I have special abilities, knowledge and experience. Please list below: I have lived and worked in this community slnce November 2003. I also serve on the board of our HOA and am familiar with the o Are you presently a registered lobbyist with the City of Miami Beach? No Please list your preferences in order of ranking [1] first choice [2] second choice, and [3] third choice. Please note that only three (3] choices will be observed by the City Clerk's Office. (Regular Boards of City) Choice 1: Normandy Shores Local Govemment Neighborhood lmprovement Choice 2: Ghoice 3: * Board members are required to file Form 1 - "statement of Financlal tnterest" with the State.lf you seek appointment to a professional seat (e.9., lawyer, architect, etc.) on the Board of Adjustment, Design ReviewBoard, Historic Preservation Board or Planning Board, attach a copy of your currently-effectively license, and furnish thefollowing information: Type of Professional License License Number License Expiration DateLicense lssuance Date Note: lf applying for Youth Advisory Board, please indicate your affiliation with the Scott Rakow Youth Center: 1. Past service on the Youth Center Advisory Board: 1o years of Service: 2. Present participation in Youth Center activities by your children No if yes, please list the names of your children, their ages, and which programs. List below: City 255 . Have you ever been convicted ofa felony: No lf yes, please explain in detail: o Do you currently have a violation(s) of City of Miami Beach codes: No lf yes, please explain in detail: o Do you currently owe the City of Miami Beach any money: No lf yes, please explain in detail: o Are you currently serving on any City Boards or Committees: Yes lf yes, which board? Normandy Shores Local Government Neighborhood lmprovement Board o What organizations in the City of Miami Beach do you currently hold membership in? o I am now employed by the city of Miami Beach: No Which department? o List all properties owned or have an interest in, which are located within the City of Miami Beach: Gender: Female The followlng lnformatlon Is voluntary and ls neither part of your appllcatlon nor has any bearlng on your conslderation for appolntment. lt Isbelng asked to compty with federal equal opportunlty reportlng requlrements. Race/Ethnic CategoriesWhat is your race? Mark one or more races to indicate what you consider yourself to be. White Other Description: Are you Spanish/Hispanic/ Latino? Mark the "No" box if not Spanish / Hispanic / Latino. No PhysicallyChallenged: No NOTE: lf appointed, you will be required to follow certain laws which apply to city board/commlttee members.These laws include, but are not limited to, the following: o Prohibition ftom directly or indirectly lobbying city personnel (Miami Beach City Code section 2459).o Prohibition from contracting with the city (Miami-Dade County Code section 2-'11.1).o Prohibition from lobbying before board/committee you have served on for period of one year after leaving office (Miami Beach Code section 2-26).o Requirement to disclose certain financial interests and gifts (Miami-Dade County Code section 2-1 1 . l ).(re: CMB Community Development Advisory Commiftee): prohibition, during tenure and for one year after leaving office, from having any interest in or receiving any benefit from Community Development Block Grant funds for either yourself, or those with whom you have business or immediate family ties (CFR 570.61 1). Upon request, copies of these laws may be obtained from the City Glerk. "l hereby attest to the accuracy and truthfulness of the application and have received, read and will abide by Chapter 2, Article Vll - of the City Code "Standards of Conduct for City Officers, Employees and Agency Members." I Carmen Browne agreed to the following terms on Received in the City Clerk's Office by: Name of Deputy Clerk Control No.Date 256 Carmen M. Browne 575 N. Shore Drive Miami Beach, FL 33141 30s-793444s Education: 1975 Graduated summa cum laude with a Bachelor's of Social Work from Temple University, Philadelphia, PA 1983 Graduated with a Juris Doctor degree from the University of Denver College of Law, Denver, CO Past Work Experience: 1975 - 1977: Social worker with Hahnemann Hospital in Philadelphia, PA 1978 - 1980: Foster care worker with the Fairfax Department of Social Services in Fairfax, VA 1983 - 1995: Attorney. Practiced law in Denver, CO 1995 - 2003: Assistant manager for Strategic Asset Management, LLC in Denver, CO Current Occupation: 2012 to present: One of rwo managing members of NoBe Ventures LLC, a Florida limited liability company in Miami Beach, FL 257 258 Wi I Martinez 259 THIS PAGE INTENTIONALLY LEFT BLANK 260 E MIAMIBEACH NAME: ilartlnez CITY OF IIIAMIBEACH BOARD AND COTTIIMIITEE APPLICATION FORII wit Last Name HOME ADDRESS: llSS N Meridian Avenue First Name Miami Beach FL Middle lnitial 33r40 Apt No. Home No./Street PHONE: 305458-6233 City wmart@yahoo.com State Zip Code Work Email Address Business Name:Position: Address: StreEt State Zip Code Pursuant to City Code section 2-22(41a and b: Members of agencies, boards, and committees shall be affiliated with the city this requirement shall be fulfilled in the following ways: a) an individual shall have been a resident of the city for a minimum of six months; or b) an individual shall demonstrate ownership/interest lor a minimum of six months in a business established in the city. . Resident of Miami Beach for a minimum of six (6) months Yes. Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: Yes o Are you a registered voter in Miami Beach: Yes o (Please circle one): I am now a resident of Middle Beach o I am applying for an appointrnent because I have special abilities, knodedge and experience. Please list below: l'm a 20 year resident of Mlami Beach, and an avid golfer. I have been a membgr of the Doral Country Club for 19+ years, and I o Are you presently a registered lobbyist with the City of Miami Beach? No Please list your preferences in order of ranking [] first choice [2] second choice, and [3] third cfroice. Please note that only three (3) choaces will be observod by th€ Clty Clerk's Oftlce. (Regular Boards of City) Choice 1: Parks and Recreational Facilities Board Choice 2: Hispanic Affairs Committee Choice 3: * Board members are required to file Form 1 - "statement of Financial lntereEt" with the State. lf you seek appointment to a professional seat (e.9., Iawyer, architect, etc.) on the Board of Adjustment, Design ReviewBoard, Hlstorlc Preservation Board or Planning Board, attach a copy of your currently-effectively license, and furnish thefollowing information: Type of Professional License License Number License Expiration DateLicense lssuance Date Note: lf applying for Youth Advisory Board, please indicate your afiiliation with the Scott Rakow Youth Center: 1. Past service on the Youth Center Advisory Board: po years of Service: 2. Present participation in Youth Center activities by your children Yeg if yes, please list the names of your children, their ages, and which programs. List below: Child Name Age Program Alexander 13 lntramuralFootball, Basketball City 261 . Have you ever been convicted of a felony: No lf yes, please explain in detail: o Do you currently have a violation(s) of City of Miami Beach codes: No lf yes, please explain in detail: . Do you currently owe the City of Miami Beach any money: No lf yes, please explain in detail: o Are you currently serving on any City Boards or Committees: No lf yes, which board? o What organizations in the City of Miami Beach do you currently hold membership in? o I am now employed by the city of Miami Beach: No Which department? . List all properties owned or have an interest in, which are located within the City of Miami Beach: Property 4455 Meridian Avenue, Miami Beach, FL 33140 Gender: Male The following information ir yoluntary and is neither part of your application nor has any bearing on your conrideration for .ppoantmcnt lt i. being askod to comply with foderal oqual opportunity reporting.equirements. Race/Ethnic CategoriesWhat is your race? Mark one or more races to indicate what you consider yourself to be. Other Other Description: Are you Spanish/Hispanic/ Latino? Mark the "No' box if not Spanish / Hispanic / Latino. Yes PhysicallyChallenged: No NOTE: lf appointed, you will bo requlrcd to follow ccrtaln laws s'hlch apply to clty board/committoe membert.These laws lnclude, but ere not limitod to, the following: o Prohibition from directly or indirectly lobbylng cily personnel (Miami Beach City Code section 2459).o Prohibition from contracting with the cily (Miami-Dade County Code saction 2-1 1 .1 ).o Prohibition from lobbying before boardlcommittee you have served on lor period of one year after leaving offlce (Miami Beach Code section 2-26).o Requirement to disclose certain financial interests and gifts (Miami-Dade County Gode sec{ion 2-'11.1). (re: CMB Community Development Advi8ory Committee): prohibition, during tenure and for one year afler leaving ofnce,from having any interest in or receiving any benefit from Community Development Block Grant funds for either yourself, or those with whom you have business or irnmediate family ties (CFR 570.61 I ). Upon request, copies of these laws may be obtained from the City Clerk. 262 'l hfliby l0rt to tln rcauncy ftd hilltfrilnxa ottlra Tpllcdon md hrw rrcolw4 nld ld ulll .!E by Clrapo? 2, ArtlchVll - ot $. Clty Codo "ttrndrrdr ol Conduct ior Cfi Ofilcrn, Emfloyoot rnd Agorrcy Lmb.tr.' I Wl llerilncz egrucd to fi. iollowlng brmr on Recaiwd ln thc City Clstl Offio by Name of Deputy Clerk Contml No. Date 263 THIS PAGE INTENTIONALLY LEFT BLANK 264 F lorencia J i men ez-Marcos 265 THIS PAGE INTENTIONALLY LEFT BLANK 266 I,/IAMIBTACT.IJi rqp^r€t . l,trt,qgcoS . f Lo &EnJc,A BOARD A,ND COMltrliTTEE AFPLICAIION FORM Last Name,l4qqfl r'1znJ E\f"1,'{ -ri $i7,,ktl First Name Middle lnitial3 7//o Home Address3os 6 +lu 21{City State Zip Codeor ?r)./ cltG Arcl\C4a I I ,vtdn" Business Address Professional License ( City State Expires: Zip Code Please attach a copy of currently effective professional license. Please list your preferences in order of ranking [1] first choice [2] second choice, and [3] third choice. Please note that onlv three (3) choices will be observed bv the Office of the Citv Clerk. Page 1 of4 FlCLER\$ALL\aFORMS\BOARO AND COMMITTEES\BC APPL,CATION REVISED 06,I42O16.docx Pursuant to City Code section 2-22(4la & b: Members of agencies, boards and committees shall be affiliated with the City. This requirement shall be fulfilled in the following ways: a. An individual shall have been a resident of the City for a minimum of six months, or b. An individual shall demonstrate ownership/interest for a minimum of six months in a business established in the City for a minimum of six months. o Resident of Miami Beach for a minimum of six (6) months: Ves.B or Ho E o Demonstrates ownership/interest in a business irl M.iami Beach for a minimum of six months: yes E or ruo E o Are you a registered voter in Miami Beach: YesEfor ruo E o I am now a reside",;'N;; ;";;-C ..r,n t"r"n-fr,oote eeach M o I am applying tor an aC:o(C because I have abilities, knowledge and experience. Please list below: pfic'rnr''r o Are you presently a registered lobbyist with the City of Miami Beach? Yes E or ruo E O Affordable Housing Advisory Committee O Health Advisory Committee tr Parks and Recreation Facilities Board @ Il Art in Public Places Committee o Health Facilities Authority Board LPersonnel Board I D Audit Committee O Hispanic Affairs Committee O Planninq Board't D Board of Adiustment'*B Historic Preservation Boardf o Police Citizens Relations Committee tr Budo€t Advisorv Committe€0 Housino Authoritu tr Production lndustrv CouncilI Committee on the Homeless o Human Riohts Comrnittee Ilsister Cities Prooram -L o Committee for Qualitv Education in MB 0 LGBT Advisory Committee o Sustainability Commiftee D Convention Center Advisory Board E Marine & Waterfront Protedion Authority E Transpo rtation, Parking, & Bicycle-Pedestrian Facilities Committee l'"1 Miami Beach Commission forWomen o Visitor and Convention Authoritv B Design Review Board *0 Normandy Shores Local GovemmentNainhhorhnnr| lmnrnvamanl 0 Youth Commission O DisabiliU Access Committee * Board membens are required to file Form I - "statement of Financial lnteresf'with the State.fr f you seek appointment to a professional seat (e.9., lawyer, archltect, etc.) on the Board of Adjustment, Design Review Board, Hlstoric Preservation Board or Planning Board, attach a copy of your currently-effectively llcense, and furnlsh the following information: Type of Professional License License Number License lssuance Date License Expiration Date 267 € Note: lf applying for the Youth Center positions of the Parks and Recreations Facilities Board, please indicate your affiliation with the Scott Rakow Youth Center and/or the North Shore Parks Youth Center: o Please describe your past service with the City's Youth Centers (include dates of service): . Present participation in Youth Center activities by your children: yes E ruo E lf yes, please list below the names of your children, their ages and the programs in which they participate: o Have you ever been convicted ofa felony? Yes lf yes, please explain in detail: o Do you currently have a violation(s) of City of Miami Beach Code? yes E or. NEtty"s, please explain in detail: o Do you currently owe the City of Miami Beach any money? Yes E or ruo-E lf yes, explain in detail e Are you currently serying on any City Boqd or ComnlitteeZ yes.Eor Ho E lf yes, which board/committee?' Ppir.nnrl' i{c.c..r-.r( ' r ln what organization(s) in the City of Miami Beach do you currently hold membership? Name Position o List afl properties owned or in which you have an inlerpst within the City of Miami Beach:L.-o'*n - 4441/ A hr I1S 3, d 4o r Are you now employed by the City of Miami Beach? yes E o, ruo ffi Which department and title? o Pursuant to City Code Section 2-25 (bl: Do you have a parent E, spouse El, chito E urotner [l o, sister f] who is employed by the City of Miami Beach? Yes ffor *o K{ lf,Yes,,identiffperson(s)anddepartment(s): The followlng information is voluntary and ls nelther part of your application nor has any bearing on your consideration forappointment. lt is being asked to comply with City diversity reporting requlrements. Gender: Male U Female Race/Ethnic Categories What is your race?E ntrican-Rmerican/Black Mcrr"r.ianAflhiteff or'"n or Pacific lslanderEI rurtir"-Rmerican/American lndian Page 2 ol 4 FlCLER\$ALL\aFORMS\BOARD AND COMMITTEES\BC APPLICATION REVISED 06142O16,docx 268 E otn"r- Print Race: Do you consider yourself to be Spanish, Hispanic or Latino/a? Mafu the "No" box if not Spanish, Hispanic, Latino/a. fl NoH. Do you consider yourself Physically Disabled? ENoft". NOTE: lF APPOINTED, YOU WLL BE REQUIRED TO FOLLOW CERTAIN LAWS THAT APPLY TO CITY BOARD/COMMITTEE MEMBERS. THESE LAWS INCLUDE, BUT ARE NOT LIMITED TO:o Prohibition from directly or indirectly lobbying City personnel (Miami Beach City Code section 2-459).o Prohibition from contracting with the City (Miami-Dade County Code section 2-11.1).o Prohibition from lobbying before the board/commiltee you have served on for period of one year afler leaving office (Miami Beach City Code section 2-26).o Requirement to disclose certain financial interests and gifts (Miami-Dade County Code section 2-11.1).o CMB Community Development Advisory Committee; prohibition, during tenure and for one year after leaving office, from havingany interest in or receiving any benefit from Community Development Block Grant funds for either yourself, or those with whomyou have business or immediate family ties (CFR 570.61 1).o Sunshine Law - Florida's Government-in-the-Sunshine Law was enacted in 1967. Today, the Sunshine Law regarding opengovernment can be found in Chaoter 286 of the Florida Statutes. These statutes establish a basic right of access to most meetings of boards, commissions and other governing bodies of state and local governmental agencies or authorities.o Voting conflict - Form 88 is for use by any person serving at the county, city or other local level of government on an appointed or elected board, council, commission, authority or committee. lt applies equally to members of advisory and non-advisory bodies who are presented with a voting conflict of interest under Section 112.3143, Florida Statutes. Upon request, copies of these laws may be obtained from the City Clerk. I HEREBY ATTEST TO THE ACCURACY AND TRUTHFULNESS OF THE APPLICATION; AND I HAVE RECEIVED, RE.AD ANDWILL ABIDE BY CHAPTER 2, ARTICLE VII, OF THE MIAMI BEACH CITY CODE, ENTITLED "STANDARDS OF CONDUCT FOR CITY OFFICERS, EMPLOYEES AND AGENCY MEMBERS AND ALL OTHER APPLICABLE COUNTY AND/OR STATE LAWS AND STATUTES ACCORDINGLY." r2 ,-oq.uX Jr a; it *. a rylL Lcl) Sig_,4akire thai of the City Clerk by: ATTACH A CURRENT RESUME, PHOTOGRAPH AND A COPY OF ANY APPLICABLE PROFESSIONAL LICENSE. ATTACH ADDITIONAL SHEETS, IF NECESSARY, TO PROVIDE REQUIRED INFORMATION. h Page 3 ot 4 F:\CLER\$ALL\aFORMS\BOARD AND COMMITTEES\BC APPLICATION REVISED 06142016,docx 269 MIAMIBEACH City of Miomi Beoch.l700 Convention Center Drive, Miomi Beoch, Florido 33.l39, www.miomibeochfl.gov OFFICE OF THE CIry CLERK C ityClerk@m io m i beochfl. gov Telephone: 305.673.741 1 Fox: 305.623.7254 Acknowledgement of fines/suspension for Board/Committee Members for failure to comply with Miami- Dade Gounty Financial Disclosure Code Provision Code Section 2-11.11i1(21 Board Member's Name: f t-<l e+2t^rq* -J t f*ff",E f 'fut ft*L 4 ,{ I understand that no later than Julv l. of each vear all members of Boards and Committees of the City of Miami Beach, including those of a purely advisory nature, are required to comply with Miami-Dade County Financial Disclosure Requirements. This means that the members of City Advisory Boards, whose sole orprimary responsibility is to recommend legislation or give advice to the City Commission, must file, even though they may have been recently appointed. One of the following forms must be filed with the City Clerk of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida, no laterthan 12:00 noon of July I, of each year. 1. A "Source of lncome Statement' 2. A "Statement of Financial lnterests (Form 1)" 3. A Copy of your latest Federal lncome Tax Return Failure to file one of these forms, pursuant to the Miami-Dade County Code, may subject the person to a fine of no more than $500, 60 days in jail or both. IIfu- Updated: Tuesday, October 04, 2016 Page 4 ol 4 F:\CLER\$ALLIaFORMS\8OARO AND COMMITTEES\BC APPLICATION REVISE0 06142016.docx 270 FLORENCIA JIMENEZ-MARCOS Florencia Jimenez-Marcos is a seasoned business professionalwith significant project management and strategy skills honed over 20 years while in leadership roles both professionally and in civic and community organizations. Her expertise is in the travel, hospitality, real estate and arts and culture sectors. For the last 15 years, she has been Managing Partner at Biscayne Bay Group, a boutique advisory and investment firm. Over the years, she has been interviewed for her expertise in forums as diverse as The Wall Street Journol, Elle Dicor and Lotino magazines, and Univision and Telemundo. Prior to her own firm, Florencia honed her strategy and marketing expertise in roles at non-profits, academic institutions, start-ups and Fortune 500 companies. She regularly mentors start-ups and participates as a tiYo entrepreneur. She was VP of Marketing and Business Development at viajo.com, the leading Latin American travel services company in the early internet days. Prior to that, Florencia worked in Member Relations at Visa and participated in the Ford Motor Company Marketing Leadership Program. Before business school, she was the first Hispanic Outreach Director at Crisis lntervention of Houston, a United Way agency. She also served for several years as the Undergraduate Director of Study Abroad at the University of St. Thomas. Florencia earned an MBA from the Wharton School of Business and an MA in lnternational Studies from the Lauder lnstitute, both at the University of Pennsylvania. She graduated cum loude wilh a Bachelor of Business Administration in Economics and Philosophy from the University of St. Thomas in Houston, TX, where she was a PresidentialScholar, She also attended the lnstitution Robin in Vienne, France. Personally, while she has the travel bug, Florencia is proud to have put down roots in Miami Beach 16 years ago. She is an avid cheerleader for the city's business and cultural scene and is committed to helping shape the city's changing landscape, having emerged as a leader in many local arts, education and civic organizations. She is a longtime supporter of many local organizations, having served on and held leadership positions in numerous boards and committees over the years. Currently, she is the President of Friends of North Beach Elementary Board, the school's parent-run fundraising 501(c) 3. She is the immediate past Board Chair of Friends of the New World Symphony and former Trustee. She is a proud Founder of the Miami Book Fai/s Literati Society and has helped other local organizations, such as YoungArts, NuDeco Ensemble, Bass Museum, PAMM, MOCA, Dance Now!, Fashionably Conscious. Previously, Ms. Jimenez-Marcos also served on the Boards of the Green Room Society of the Arsht Center for the Performing Arts and the Wharton Club of South Florida. Her civic activities further extend from her long participation on the Alton Road Miami Beach Homeowne/s Association Board, to her current role on the City of Miami Beach's Personnel Board. 271 272 Gail L. Harris 273 THIS PAGE INTENTIONALLY LEFT BLANK 274 !9 MIAMIBEACH NAME: Harris CITY OF MIAMI BEACH BOARD AND COMMITTEE APPLICATION FORM Gail Last Name HOME ADDRESS: 5225 North Bay Road First Name Miami Beach Fl Middle lnitial 33140 Apt No. Home No./Street PHONE: 3058647662 7862104814 City State Zip Code gailkayharris@gmail.com Home Business Name: call L. Harris. LCSW Address: 975 Arthur Godfrey Rd Ste. 303 Email Address position: PsychotherapisUlicensed clinical social worker Miami Beach Florida Work 33140 Street State Zip Code Pursuant to City Gode section 2-22141a and b: Members of agencies, boards, and committees shall be affiliated with the city; this requirement shall be fulfilled in the following ways: a) an individual shall have been a resident of the city for a minimum of six months; or b) an individual shall demonstrate ownership/interest for a minimum of six months in a business established in the city. o Resident of Miami Beaclr for a minimum of six (6) months Yes o Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: Yes o Are you a registered voter in Miami Beach: Yes r (Please circle one): I am now a resident of: Middle Beach o I am applying for an appointment because I have special abilities, knowledge and experience. Please list below: I am a good listener and have been a communication professional for over 25 years helping people solve problems and finding o Are you presently a registered lobbyist with the City of Miami Beach? No Please list your preferences in order of ranking [1] first choice [2] second choice, and [3] third choice. Please note that only three (3) choices will be observed by the City Clerk's Office. (Regular Boards of City) Choice l: Personnel Board Ghoice 2: Art in Public Places Committee Ghoice 3: CulturalArts Council * Board members are required to file Form 1 - "Statement of Financial lnterest" with the State. If you seek appointment to a professional seat (e.9., lawyer, architect, etc.) on the Board of Adjustment, Design ReviewBoard, Historic Preservation Board or Planning Board, attach a copy of your currently-effectively license, and furnish thefollowing information: Type of Professional License,License Number License Expiration DateLicense lssuance Date Note: lf applying for Youth Advisory Board, please indicate your affiliation with the Scott Rakow Youth Center: 1. Past service on the Youth Center Advisory Board: po years of Service: 2. Present participation in Youth Center activities by your children No if yes, please list the names of your children, their ages, and which programs. List below: City 275 . Have you ever been convicted of a felony: No lf yes, please explain in detail: o Do you currently have a violation(s) of City of Miami Beach codes: No lf yes, please explain in detail: o Do you currently owe the City of Miami Beach any money: No lf yes, please explain in detail: . Are you currently serving on any City Boards or Committees: No personnel lf yes, which board? o What organizations in the City of Miami Beach do you currently hold membership in? Name Title Temple Beth Sholom member Temple Emanuel member la gorce CC socialmember o I am now employed by the city of Miami Beach: No Which department? o List all properties owned or have an interest in, which are located within the City of Miami Beach: Property 5725 North Bay Rd miami Beach Gender: Female The following information is voluntary and is neither part of your application nor has any bearing on your consideration for appointment. lt isbeing asked to comply with federal equal opportunity reporting requirements. Race/Ethnic CategoriesWhat is your race? Mark one or more races to indicate what you consider yourself to be. White Other Description: Are you Spanish/Hispanic/ Latino? Mark the "No" box if not Spanish / Hispanic / Latino. No PhysicallyChallenged: No NOTE: If appointed, you wlll be requlred to follow certain laws whlch apply to city board/committee members.These laws lnclude, but are not llmited to, the followlng: o Prohibition from directly or indirectly lobbying city personnel (Miami Beach City Code section 2459).o Prohibition from contracting with the city (Miami-Dade County Code section 2-11.1r.o Prohibition from lobbying before board/committee you have served on for period of one year after leaving office (Miami Beach Code section 2-26).o Requirement to disclose certain financial interests and gifts (Miami-Dade County Code section 2-1 1.1 ).(re: CMB Community Development Advisory Committee): prohibition, during tenure and for one year after leaving office, from having any interest in or receiving any beneftt from Community Development Block Grant funds for either yourself, or those with whom you have business or immediate family ties (CFR 570.61 1). Upon request, copies of these laws may be obtained from the City Clerk. 276 "l hrroby ettot to thc .ccur.cy end truthfulncrr of thc appllcetlon and have rccelved, rcad .nd wlll eblde by Chapbr 2, AttcloVll - of the Clty Code "Stendardr of Conduc{ for Clty Offlcen, Empkiycer end Agency temben." ! Gall Harrls agrucd to the followtng terme on Received ln the Clty ClerlCs ffice by: Name of Deputy Clerk Contrcl No. Date 277 Resume Gail L. Harris Univ. of Miami 1961-B.Ed. ; 1966 M.Ed. Barry University l9B7 MSW, L99'1.- LCSW Work Experience: Teacher: EIem. Educ. 7967-66 '79-8'1, fewish Family Service: L9B4-L99L Private practice : Psychotherapy 1991-present : Individual, Couples and Group Therapy with Adults....self esteem; loss and bereavement; marital therapy, ; divorce and family issues; aging; women issues; sexual abuse and victims of domestic violence; Holocaust survivors; Iife transitions Adjunct professor - Barry University- one semester on Women's studies Community activities: Some examples fewish Family Service Bd. 1984-86 Central Agency of f ewish Educ. 8d...1980 -ZOLZ (30+)yrs Greater Miami fewish Federation- Women's Dept....Now women's philanthropy Chaired: Developmen! education, Shalom Bayit, Founding member ofGesher Program; Miami Beach area Board, Chaired Commission on Status of Women on Miami Beach 2005-2007 Board member: Hebrew Academy 2001,1-2015 fpresent) March of Living Participant 1 990, L99 4,98,200 6,.2 0 1 0 Chaired Lay committee for March of Living 1998+ City of Miami Beach: Committee for Homeless (2010-2/2017) Women Survivors of Sexual Abuse....over 18 years Personnel Committee on City of Miami Beach ( 3/2017) Groups -on going: Facilitate Holocaust Survivor Group for those having attended the March of the Living....1990 - present (.MOL Holocaust survivors) Fabulous Fifties Group...ongoing for twenty one years to present Women survivors of Sexual Abuse.....- 278 Facilitator for The Listener's Program for Miami-Dade County - Schools: North Dade area....2006-present Workshons: - Celebrating Aging: A Four week program designed for women 60+ February ,2Ot4 - present Women's transitions - at Barry Univ. Group work with Holocaust Survivors at Barry Univ. and Univ. of Miami Stress Management Women's health Forum: Mt. Sinai Hospital International Meeting of Association for Death and Dying in Washington, DC...Speaker on : Resiliancy in Holocaust Survivors.... From couplehood to parenthood.....07-present Parent workshops: Step Parenting ...at various schools and temples Effective communication skills ...to parents; students, couples From invisibility to Visibility; a guide for women 60 and beyond...lan.24,20t7 at Greater Miami ]ewish Federation Private practice: 1993- (toPresent )Individual, Couples and Group Therapy: 333 W.4l street Miami Beach, Florida 33140 Awards: Women Worth Knowing Award for City of Miami Beach presented by Commission on Status of Women -2008 Book : co-author as of lanuary- 2017 fourney From Invisibiliry to Visibility -A Guide for Women 60 and Beyond by: Gail K. Harris, Marilyn C. Lesser, PhD, Cindy T. Soloway, www.womens guidetoaging.com 279 280 Daniel Veitia 281 THIS PAGE INTENTIONALLY LEFT BLANK 282 E MIAMIBEACH NAME: Veltla crw oF iflAifl BEACH BOARD AND COMMITTEE APPLIGATION FORM Danlel Last Name HOiIE ADDRESS: 1525 Normandy Drive First Name iliami Beach Florida Middle lnitial 33141 Apt No. Home No./Street PHONE: (305) 219.3'l0E (305) /S113-0657 State Zip Code daniel@urbanresourcs.com City Home Work Email Address Business Name: Urben Rerource position: Realtor Propolty llgr. Address: 1193 Tlst St Miami Beach Florida 33141- Street City State Zip Code Pumuant to Clty Gode rectlon 2.A441a and b: Members of agencies, boards, and committees shall be affiliated with the clty; this requiremenl shall be fulfilled in the following ways: a) an individual shall have been a resident of the city for a minimum of six months; or b) an individual shall demonstrate orvnership/interest for a minimum of six months in a business established in the city. o Resident of Miami Beach for a minimum of six (6) months Yes o Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: Yes o Are you a registered voter in Miami Beach: Yes o (Please circle one): I am now a resident of: North Beach o I am applying for an appointment because I have special abilities, knou/edge and experience. Please list below: o Are you presently a registered lobbyist with the City of Miami Beach? No Please list your preferences in order of ranking [1] first choice [2] second choice, and [3] third choice. Pleare note that only thme (3) choices wlll be obscrved by the Glty Clark'g Offlce. (Regular Boards of City) Choice 1: Planning Board Choice 2: Mayo/s lT Systems Review Blue Ribbon Panel Gholce 3: * Board members are requlred to fite Form I -'stalemsnt of Flnanclal lnterest" wlth the State. lf you ceek appointment to a profcciona! ccat (c.9., lauryrcr, architect, etc.) on thc Board of Adjustment, Dedgn ReviewBoard, Historlc Preseruation Board or Planning Board, attach a copy of your currently-effectfuely llcense, and fumish thefollowlng lnformatlon: Type of Professional License License Number License Expiration DateLicense lssuance Date Note: lf applying for Youth Advisory Board, please indicate your affiliation with the Scott Rakow Youth Center: 1. Past service on the Youth Center Advisory Board: p6 years of Service: 2. Present participation in Youth Center activities by your children No if yes, please list the names of your children, their agEs, and which programs. List below: Child Name Age Program 283 . Havo you ever been convicted of a felony: No lf yes, please explain in detail: r Do you cunently have a violation(s) of City of Miami Beach codes: No lf yes, please explain in detail: o Do you cunently owe the City of Miami Beach any money: No lf yes, please explain in detail: . Are you cunently serving on any City Boards or Committees: Yes Planning Board lf yes, which board? o What organizatiorls in the City of Miami Beach do you cunently hold membership in? o I am now employed by the city of Miami Beach: No Which department? o Ust all properties owned or have an interest in, which are located within the City of Miami Beach: Property 1525 Normandy Dr 117 S Shore Drive 1 191-1203 71st Street Gender: f,lale The rollowlng lnformatlon ls voluntary and ls ndther part ol your appllcatlon nor hac any bearlng on your conslderatlon for appolntment. lt lc belng aaked to comply wlth federal equal opportunlty reportlng requirernents. Race/Ethnic Categories What ls your race? Mark one or more races to indicate what you consider yourself to be. Whlte Other Description: Are you Spanish/Hispanic/ Latino? Mark the'No'box if not Spanish / Hispanic / Latino. Yes PhysicallyChallenged: No NOTE: lf appointed, you will be requlred to follow certain lawr which apply to clty board/committee members. These lawc lnclude, but are not llmlted to, the followlng: o Prohibition from directly or indirectly lobbying city p€rsonnol (Miami Boach City Code section 2-459).o Prohibition fiom contracting with the city (Miami-Dade County Code section 2-1 1 .1).o Prohlbitlon trom lobbying before board/commlttoe you have served on for perlod of one year after leavlng ofice (Miaml Beach Code sedion 2-26).o Requirement to disclose certain financial interests and gifts (Miami-Dade County Code sec'tion 2-11.11, (re: CMB Community Development Mvisory Committee): prohibition, during tenure and for one year affer leaving office, from having any interest in or roceiving any bonofit from Community Development Block Grant funds ior either yourself, or those with whom you have business or immediate family ti€s (cFR 570,611). Upon roquest, copies of theae laws may be obtained from the Cfi CIerk, 284 't h.ltby .[tst b tll eccurecy md truthtulmr of Ol. rpplb.Oon end lpvo trc.hnd, rr.d .nd ulll .bld. !y Chrpt r 2, ArucLVll-of ftoCltyCodo r3bndllt otCondrtio? CltyOfllcn, Erplryr end Agoncy lrnteo." I Danlcl VclUe grrcd to tltc iolloulng tamrrt qt 1A*2o1E 3:rlE:5{ Pt Recolved ln thc City ClcdCr Ofice by: Name of Deputy Clerk Contnol No. Dats 285 1525 Normandy Drive, MiamiBeadr, FL 33141 305.219.3408 daniel@northbemhnews.com llaniel Ueitia Prolorilorrl Uilrn lr3.rlcr,0rrcr/Prrrllcnt 2ttt - Prcsiltllleilllhts . Reat Estate Brokenage Firm. Property Management Fim. ProjectlConstuc'tion Management SeMces. Licensed Real Eshte Bmkerand CAItitl lntornill.ml lulrtlcr, l00l - 2002. FS TruddrE, Vice President. Maersk-Sealand, NorhAmqican Openations Manager. Pronto Caryo, Openations Manager/Ouner GOmmUnlty Steering Committee tur Norfi Beach Master Plan lnuolrorent Bhe Ribbon panetfor North Beach CMB Planning Board Member Founding Member, Fairway Park Neighborhood Association Past Presidenl, Normandy lsle North Neighborhood Association Past Presidenl, North Beach Development Corp. Past Presidenl, North Beach Bandshell Park Trust Past President Cunent Member, Rhythm Foundation Past Board Member, Miami Beach Community Dev Corp. Founding Member, North Shore Neighbofiood Association Committee Member, Hunicane Task Force (C.M.B) Leadership Miami Graduate (2005, Miami) Leadership Academy Graduate (2006, C.M.B) Citizens Police Academy Graduate (2006, C.M.B.) C.E.R,T. Graduate IilucftlOn BusinessAdministration, BBA Univercity of Miami 1997 TallahasseeCommunityCollege 1994Business Administriation, M 286 t +..*. a i ,/It'" ..r\!ttqw %W * t"qfT'l {**t""'x a \=F.:'l::::::..\ :ss ,l tT*;E.{ 4*[r ;J'\r b.. a a ta,tfat r 287 THIS PAGE INTENTIONALLY LEFT BLANK 288 Andres Asion 289 THIS PAGE INTENTIONALLY LEFT BLANK 290 g MIAMIBEACH NAME: Aslon CITY OF MIAMI BEACH BOARD AND COMMITTEE APPUCATION FORM Last Name First Name HOiIE ADDRESS: 1000 S Pointe DrApt 2204 Mtaml Beach Middle lnitial PHONE: Apt No. Horne No./Street City 305-351-1000 State Zip Code AAsion@Fortunel ntl Group.com Home Business Name: Fortune Develooment Sales Address: 1300 Brickell Avenue position: Vlce Presldent of Sales Work Email Address 33131State Zip code Pursuant to Clty Code sectlon 2-2l2l4l a and b: Members of agencies, boards, and committees shall be affiliated with the city; this requirement shall be fulfflled in the following ways: a) an individual shall have been a resident of the city for a minimum of six months; or b) an individual shall demonstrate ornershi/interest for a minimum of six months in a business established in the city. o Resident of Miami Beach for a minimum of six (6) months Yes o Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: No o Are you a registered voter in Miami Beach: Yes o (Please circle one): I am nor a resident of: o I am applying for an appointment because I have special abilities, knowledge and experience. Please list below: lE years of Real Estate experlence, llblong beach resident, understands concerns of resldents and property ownels. o Are you presently a registered lobbyist with the City of Miami Beach? No Please list your preferences in order of ranking [1] first dtoice [2] second choioe, and [3] third choice. Please note that only three (3] cholces wlll be obsewed by the Clty Clerk's Office. (Regular Boards of City) Choice 1: Planning Board Choice 2: Design Review Board Cholce 3: Convention Center Advisory Board Note: lf applying for Youth Advisory Board, please indicate your affiliation with the Scoft Rakow Youth Center: 1. Past service on the Youth Center Advisory Board: po years of Service: 2. Present participation in Yoth Center activities by your children No lf yes, please list the names of your chlldren, thelr ages, and which programs. List below: o Have yoLr ever been convicted of a felony: No lf yes, please explain in detail: City o Do you cunently have a violation(s) of City of Miami Beach codes: No lf yes, please explain in detail: o Do you cunently owe the City of Miami Beach any money: No lf yes, please explain in detail: o Are you olnently serving on any City Boads or Committees: Yes Communlty Relatlons lf yes, which board? o What organizations in tfre Clty of Miami Beach do you cunently hold membership in? Name Tifle Chamber of Commerce Member r List all properties owned or have an intercst in, whicft are located within the City of Miami Beach: 291 Property 1000 S. Pointe Dr#2204 MiamiBeach, FL 33139 450 Alton Rd #4004 Miami Beach, FL 33139 400 Alton Rd #3007 Miami Beach, FL 33139 265 Palm Ave Miami Beach, FL 33139 o I am now employed by the city of Miami Beach: No \A/hich department? The lollowing inlormaflon ls voluntary and ls nelther part ot your applicatlon nor has any bearlng on your consldoration for appolntment lt Isbelng asked to comply wlth federal equal opportunlty rcportng requlrements. Gender: Male Race/Ethnic CategoriesWhat ls your race? Mark one or more races to lndlcate what yo.r consider yourself to be. Ytlhite Other Description: Are you Spanish/Hispanic/ Latino? Mark the "No" box if not Spanish / Hispanic / Latino. Yes PhysicallyChallenged: No NOTE: lf appolnted, you wlll be requlred to follow certaln laws whlch apply to clty boardrcommltee members.These laws include, but are not Iimlted to, the followlng: o Prohibition from directly or indirecfly lobbying city personnel (Miami Beach City Code section 2-459).o Prohibition from contracling with the city (Miami-Dade County Code section 2-11.1).o Prohibition from lobbying before board/commitbe you have served on for period of one year after leaving offce (Miami Beach Code section 2-26).o Requirement to disdose ceriain financial inlerests and glts (Miaml-Dade County Code section 2-1 1 .1 ).(re: CMB Community Development Advisory Commitee): prohibition, during tenure and for one year after leaving office, from having any interest in or receiving any benefit from Community Development Block Grant funds fur either yoursdf, or those with whom you have business or immediate family ties (CFR 570.611). Upon request, coples of these laws may bo obtalned from the Clty GIerk. "l hereby atteat to lhe accuracy and truthfulness of thc appllcatlon and have recelved, read and wlll ablde by Chapter 2, ArtlcleVll - of the Glty Code "Standards of Gonduct for Clgr Offlcerc, Employees and Agency tembore." I Andres Aslon agreed to the followlng terms on 12lgl'i2015 5:27:59 PM Received in the Gity Clerk's Ofiice by: Name of Deputy Clerk Control No.Date 292 Andres Asion is a born and raised resident of the City of Miami Beach who has always lived in Miami Beach to date. Currently sits on the Community Relations Board and looking to add his expertise in Real Estate to the City of Miami Beach Planning Board or Design Review Board. Started in the Real Estate business in 1996 and currently is Vice President of Sales for Fortune lnternational. At Fortune, Asion oversees all developmenl sales averaging $1 billion in sales annually for the last 4 years. Active projects include: 1 Hoteland Homes (formally The Perry/Gansevoort), Brickell Heights, Paraiso Bay, NINE at Mary Brickell Village, SLS Brickell, Baltus House, Jade Signature, Marea, Midtown:4 Midtown and Midblock, Opera Tower and the Blue Hyatt Residences. Recently sold out: Beachwalk, One Ocean, lcon Bay, Paramount Bay, Axis, Millecento, 2 Midtorn, Trump Hollynrood, Artech, lcon Brickell, Jade Ocean, Jade Beach and Wind. Sample of other past projects Andres has sold include: Yacht Club at Portofino, Murano at Portofino, Murano Grande, Waverly South Beach, 900 Biscayne Bay, Vue at Brickell, The Reserves at Doral, Brickell on the River, Havana Lofts. Asion also founded the Andres Asion Foundation geared towards helping needy children (Zero Admin Cost, l0Oo/o of donations go to the cause). ln addition, Asion is also actively involved with Amigos for Kids, St. Jude, Miami Children's Hospital, and Past President of Miami-Granada Rotary Club. Contact info: Andres Asion, PA Vice President of Sales / Broker Associate Fortune lnternational 305-613-3669 Cellular 30$351 -1 000 (Fortune lnternational) AAsion@Fortune-Network.com www.AndresAsion.com 293 DBPR - ASION, ANDRES, Real Estate Broker oi Sut..Page 1 of 1 2:25:19 PM 1/7f2fig Licensee Details Licensee Information Name: Main Address: County: License Mailing: LicenseLocation: License Information License Type: Rank: License Number: Status: Licensure Date: Expires: Special Qualifications ASION, ANDRES (Primary Name) 41 SE sTH STREET #5 SUITE CUMIAMI Florida 33131 DADE Real Estate Broker or Sales Broker BK632335 CurrentrActiveLrl2olt99so3l3tl2o2o Qualification Effective Alternate Names View Related License Information View License Complaint 2601 Blair Stone Road, Tallahassee FL 32399 :: Email: Customer Contact Center i: Customer Contact Center: 850.487.1395 The State of Florida is an AA/EEO employer. Coovrioht 2OO7-2O1O State of Florida. Privacy Statement Under Florida law, email addresses are public records. If you do not want your email address released in response to a public-records request, do not send electronic mail to this entity. Instead, contact the office by phone or by traditional mail. If you have anyquestions, please contact 850.487.1395. *Pursuant to Section 455.?75(L), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department with an email address if they have one. The emails provided may be used for official communication with the licensee. However email addresses are public record. If you do not wish to supply a personal address, please provide the Department with an email address which can be made available to the public. https:i/www.myfloridalicense.com/LicenseDetail.asp?SID: &ii:92485038B20C6ADCF31 ... l17l20l9294 Kareem Brantley 295 THIS PAGE INTENTIONALLY LEFT BLANK 296 g MIAMIBEACH NAME: Brantley CITY OF MIAMIBEACH BOARD AND COMMITTEE APPLICATION FORM Kareem T Last Name HOME ADDRESS: 11 lsland Avenue #1008 First Name Miami Beach FL Middle lnitial 33139 Apt No. Home No./Street PHONE: 305'206'7018 9il'3474675 State Zip Code kareem@bravisg roup.com City Home Business Name: Bravis GrouD Work Email Address position: Real Estate Development Address: 6007NW7thAvenue Miami FL 33127 Street State Zip Code Pursuant to City Code section 2-22(41a and b; Members of agencies, boards, and committees shall be affiliated with the city; this requirement shall be fulfilled in the following ways: a) an individual shall have been a resident of the city for a minimum of six months; or b) an individual shall demonstrate ownership/interest for a minimum of six months in a business established in the city. o Resident of Miami Beach for a minimum of six (6) months Yes o Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: Yes . Are you a registered voter in Miami Beach: Yes o (Please circle one): I am now a resident of: South Beach o I am applying for an appointment because I have special abilities, knowledge and experience. Please list below: I have experience as an electrical engineer performing residential and commercial electric distribution vault design for Next Era o Are you presently a registered lobbyist with the City of Miami Beach? No Please list your preferences in order of ranking [1] first choice [2] second choice, and [3] third choice. Please note that only three (3) choices will be observed by the City GIerk's Office. (Regular Boards of City) Choice 1: Planning Board Ghoice 2: Choice 3: * Board members are required to fite Form I - "statement of Financia! lnterest" with the State. lf you seek appointment to a professional seat (e.9., lawyer, architect, etc.) on the Board of Adjustment, Design ReviewBoard, Historic Preservation Board or Planning Board, attach a copy of your currently-effectively license, and furnish thefollowing information: Type of Professional License License Number License Expiration DateLicense lssuance Date Note: lf applying for Youth Advisory Board, please indicate your affiliation with the Scott Rakow Youth Center: 1. Past service on the Youth Center Advisory Board: po years of Service: 2. Present participation in Youth Center activities by your children No if yes, please list the names of your children, their ages, and which programs. List below: City 297 . Have you ever been convicted of a felony: No lf yes, please explain in detail: o Do you currently have a violation(s) of City of Miami Beach codes: No lf yes, please explain in detail: o Do you currently owe the City of Miami Beach any money: No lf yes, please explain in detail: . Are you currently serving on any City Boards or Committees: No lf yes, which board? o What organizations in the City of Miami Beach do you currently hold membership in? o I am now employed by the city of Miami Beach: No Which department? o List all properties owned or have an interest in, which are located within the City of Miami Beach: Gender: Male The following information is voluntary and is neither part of your application nor has any bearing on your consideration for appointment. lt is being asked to comply with federal equal opportunity reporting requirements. Race/Ethnic CategoriesWhat is your race? Mark one or more races to indicate what you consider yourself to be. African-American/Black Other Description: Are you Spanish/Hispanic/ Latino? Mark the "No" box if not Spanish / Hispanic / Latino. No PhysicallyChallenged: No NOTE: lf appolnted, you will be requlred to follow certain laws which apply to clty board/commlttee members,These laws include, but are not limited to, the following: o Prohibition from directly or indirectly lobbying city personnel (Miami Beach City Code section 2-459).o Prohibition from contracting with the city (Miami-Dade County Code section 2-11.1).o Prohibition from lobbying before board/committee you have served on for period of one year after leaving office (Miami Beach Code section 2-26).o Requirement to disclose certain financial interests and gifts (Miami-Dade County Code section 2-1 1 .1). (re: CMB Community Development Advisory Committee): prohibition, during tenure and for one year afler leaving office, from having any interest in or receiving any benefit from Community Development Block Grant funds for either yourself, or those with whom you have business or immediate family ties (CFR 570.61 1). Upon request, coples of these laws may be obtalned from the Clty Clerk. "l hereby attest to the accuracy and truthfulness of the application and have received, read and will abide by Chapter 2, Article V!! - of the City Code "Standards of Gonduct for City Offlcers, Employees and Agency lltlembers," I Kareem Brantley agreed to the followang terms on 1211812018 7:50:15 PM Received in the City Clerk's Office by: Name of Deputy Clerk Control No.Date 298 KAREEM T. BRANTLEY, CFA 11 lsland Avenue #1008, Miami Beach, FL 33139 (9s41347-467s kareemb@bellsouth. net Finance and business strategy leader with experience in operations and strategic capital allocation for small to medium sized businesses. Highly motivated with strong fundamental and quantitative skill to generate results/solutions. CFA charterholder. Completed MSF in addition to BSEE. Expertise includes: Cross FunctionalTeam Leadership Project lmplementation Ability Forecasting & Modeling Profitability & Segment Analysis Organizational Change Agent Financial Reporting Strategy Creation & Design Technical Comprehension Effective Negotiator PROFESSIONAL EXPERIENCE taberty Square Redevelopment, Miami, FL (Current Development) Partner/Project Managerr Manage all aspects of development for Libefi City Rising, a S+OOfVU public private partnership revitalization initiative to develop new public housing, affordable housing and workforce housing consisting of over 1,455 new apartment units and 60 homeownership units.. Supervise subcontractors during demolition and development.r Created contractual reporting to the Miami-Dade Board of County Commissioners,r Leadcoordinationofall membersofdesignteam,includingcivil,MEP,Structural andarchitecture.r Work with underwriters and finance sources for project funding.r Proof legal documents from legal team.r Lead pre-development activity with AHJ such as DERM, WASD, PHCD, City of Miami Building Department and BCC.r Obtain affordable housing impact fee deferral.r Propose disposition plan and secure property disposition from HUD.r Mange budgets, job cost reporting and project scheduling.r Work through all phases of zoning and entitlement. Bravis lnvestment Group, [LC, Miami, FL Managing Member 2005-presentr Developer of low rise residential multifamily apartment projects in Miami Dade County using public private partnership opportunities provided by local and State governmental entities; Establishment and implementation of mandatory developer requirements such as Section 3 requirements, Davis Bacon performance bonding.r Negotiated with stakeholders, City/County officials and community activist to support development of wholly owned and JV community partners to align all interests in favor of project creation.. Created and developed RFP response to affordable housing requests from local governmental entities resulting in project award and ensuing development.. Created and developed a PPM for raise of S3MM in private capital for acquisition and development of multifamily housing projects.. Developer of spec single family residential homes in Miami Dade County using CTP financing.. Collaborated with bank lenders and private alternative financing sources to obtain project financing, including project narrative, source and use, waterfall projections and credit enhancement strategies.. Management of field construction budgets and subcontractor line items to reduce project cost variability/overages, including change orders and scope of work changes.. Supervised real estate development projects, with heavy emphasis on distressed property prospects offering high yield and increased market value post redevelopment.r Reviewed, evaluated and modified plans and prospective design workto achieve desired improvements.r Conducted stress test analysis for valuation changes due to variability in income assumptions or significant change in assumed asset valuation; resulted in increased defensive preparation for various changes in assumptions.r Created cash flow analysis models using excel to extract reasonable acquisition price relative to expected disposition price. These models were further used to create scenario analysis that considered operational profit versus projected investor return in consideration of capital costs and construction speed.. Advised clients on impact of costs of capital, due diligence, investment strategy per property and disposition; experienced in complete asset cycle turnover.r Own and manage several multifamily units within South Florida. Miami Wheelz, lnc, Dania Beach, FL (Consultant) 2006-present 299 r Successfully oversaw the start-up and development of this retail/wholesale company from 50 to St.Stvt.' Free cash flow increased significantly per quarter, while maintaining no debt.. Developed on-going future business plans and obtained credit lines for inventory financing.. Changed operations model to just in time order flow to avoid inventory build, heavy cash usage and improve on hand cash metrics for external credit enhancement. FINRA Expert Witness Consultant 2013-present. Advised and elaborated on FINRA rules and regulations in customer claims against brokerages; specializing in industry practices, compliance and typical supervisory policies and procedures. Assisted in valuation of award claim for claimant based on statement of claim. Money Concepts Capital Corp & Bravis Advisors, LLC, Hollywood, FL Equity Analyst/lAR, 2004-2009 Broker Dealer/lnvestment Advisorr Created research and fundamental analysis decision process of companies, sectors and countries, including bottom up (micro) and top down analysis (macro) of specific companies and countries to discover investment opportunities.r Analyzed individual company reported data to derive metrics such as standard deviation, Sharpe, BV, cash flow cycles to determine interest coverage ratios to determine appropriate candidates for equity and credit investment.. Built internal relative valuation methods using dividend discount models and free cash flow models to identify intrinsic values for comparison to pricing of individual equity securities and fixed income securities to be included in client portfolios.r Utilize and evaluate economic and statistical data as part of the investment decision-making process involving equity securities, credit securities, private investments and other investment products to create short-term tactical asset allocations.r lndependently worked with client assets as team leader and had full discretion of client assets for investment and allocation decisions.r Provide structured financial plans and policy statements for both individuals and businesses based on stated goals, objectives and current financial status.r Performed and created financial planning seminars for corporate, state and county government employees, focusing on 457 plans, Florida Retirement System, 403(b) and 401k plan type transfers to increase AUM. RS Davis Financial Group, Pembroke Pines, FL Director of Mortgage Operations, 2004-2006 Licensed Mortgage Correspondent Lenderr Focus on large to medium residential mortgage transactions, utilizing both standard and non-traditional tools to underwrite mortgage loans.. Developed mortgage loan commitment process to analyze borrower credibility before undenrtrriting, incorporating DTl, FICO and employment measures for lending lines of credit. The process allowed for increased loan conversion from start of underwriting and increased fuAA-!6p191 /sr volume.. Developed projection models to forecast interest income to monitor cash flow assumptions to real time results. Models allowed for quick identification of variability in pre-transaction assumptions.r Developed full strategic plan for asset management of post loan commitments for owner and non-owner occupied single family and multifamily residences in South Florida.r Created private lending scenario analysis models based on appraisal data to stress test portfolio valuation changes against changes in cost of capital, acquisition time and future business growth.. Negotiated both debt settlements and propefi surrender agreements alongside attorney; resulted in fewer BATNA scenario outcomes, curtailing large losses, and best outcomes for company/investors. NextEra Enerry, formerly known as FPL Group, Miami, FL Customer Project Manager, 2000-2004r Focus on external customer project coordination, internal project management and continuous customer external and internal stakeholder synchronization for seamless time driven project completion.. Supervise and managed union construction resources to provide construction of all aerial and underground distribution facility installations to provide electric service to new and existing customer projects.. Design overhead and underground distribution networks using power distribution standards using AutoCAD. Process included plan reading, kWd load demand calculation, voltage interpretation and sequential installation planning; installations on 23kV, 13kV and 4kV networks. Responsible for design and oversight of key distribution installations including large vault configurations, duct bank and manhole systems, throw over feeder design and overhead distribution systems; projects range from multi-unit residential condominiums to large commercial developments. 300 Miami Dade College, Miami, FL Adjunct Faculty lnstructor, 2006-Presento Teach and instruct physical courses in Personal Finance, lnstitutional Finance and Financial lnstitutions within School of Business.. Constructed supplementary excel spreadsheets based on Simon Benninga financial modeling as supplement to college required text books to enhance student retention and understanding. EDUCATIONr Florida lnternational University, Miami, FL MSF, Finance r University of Florida, Gainesville, FL BS, Electrical Engineering PROFESSIONAL LICENSES, CIVIC & OTHER Licensed Realtor (Sales Associate), Florida Life, Health & Variable Annuity Broker, NASD Series 7 (Stock Broker), Series 66 (lAR), CFA lnstitute Miami Chapter (formerly known as Association for lnvestment Management and Research), Adjunct Faculty Member to Miami Dade College. COMM UN IW CONTRIBUTIONS Florida Blue Key; Historic Overtown Public Health lnitiative (Florida Department of Agriculture); Chair, Kappa Leadership lnstitute (Kappa Alpha Psi Fraternity); Miami Foundation Fellow (Class Vlll); Board, World Literacy Crusade of Florida, lnc; Named to The Miami Herald and Legacy Magazine's "Top 40 Under 40 Black Business Leaders of 2015". 301 KAREEM T. BRANTLEY, CFA 11 lsland Avenue #1008, Miami Beach, FL 33139 (9s41 347-467s kareemb@bellsouth. net Kareem T. Brantley is a 4th generation Floridian, born and raised in Miami Dade County. After graduating with an electrical engineering degree from the University of Florida in 1999, Mr. Brantley relocated to Miami after a brief stint as a software programmer. After working at FPL as a power distribution utility vault designer for developments such as 1800 N Bayshore Dr (1800 Club) and 350 Ocean Dr, Key Biscayne (Sonesta Beach Resort). ln 2002 Mr. Brantley began to transition into real estate development and money management. Subsequently, Mr. Brantley began working for a regional broker dealer and a local real estate brokerage firm. ln2002, Mr. Brantley graduated from FIU with a graduate degree in finance. ln 2004 Mr. Brantley completely transitioned out of core engineering into finance and real estate development. Kareem obtained a CFA Charter from the Chartered Financial Analysts lnstitute in 2011 (formerly the Association of lnvestment Management and Research). ln 2004, Mr. Brantley began building single family homes throughout South Florida, using buyer financing or construction to permanent loan financingthrough SunTrust Bank, in developed neighborhoods, also known as infill, such as 13105 NW 22 Avenue and 10831 NW 21 CT. Subsequently he added redevelopment of multifamily properties in the City of Miami and greater Miami Dade County such as 1202 NW 51 STor 1910 NW 72 ST; and managing property for others. Through development he forged relationships with local and out of state vendors and contractors to scale development and reduce per unit material costs, while managing labor rates. ln 2009, Mr. Brantley began to form a group to acquire, renovate and operate smaller multi-family properties in Miami Dade County and manage buildings for others. Mr. Brantley focused on distressed and under-performing properties in need of better management that could be acquired quickly for cash. These early experiences helped him build competencies that have added to a skill set of project implementation, financial forecasting and modeling, site plan layout and design, and negotiation. As Mr. Brantley's reputation grew, owners of under-performing properties began to solicit his services. The portfolio of multifamily properties grew to 59 units over multiple sites in Miami Dade County. The portfolio was stabilized in 2011 and later placed for strategic cash flow with cheap debt financing. ln 2015, Mr. Brantley unwound his direct investment in his smaller multi-family portfolio to pursue mixed use commercial development and deal driven real estate acquisition. ln December of 2015 he purchased over an acre of land in the City of Miami to develop 55 units of apartment rentals enveloped by both retail and commercial office space. ln 2015, Mr.Brantley was approached by a principal at Related Urban Development Group's (RUDG), a division of Related Group, to co-develop Liberty Square, an existing 753-unit Miami-Dade public housing apartment complex in the Liberty City neighborhood of Miami, Florida, into a new 818-unit complex called Unity Village. Mr. Brantley's past experience was sought to contribute to the development of the multifamily and single family aspects of the project. The project includes a museum operated by HistoryMiami, a renovated community center and a community health center operated by the Jessie Trice Community Health Foundation. Academica, the nation's largest for-profit charter school company, would run a K-2 charter school and a K-8 charter school on site. The project will begin in late 2015 once awarded by Miami Dade County. RUDG is one of two finalist for the project to be awarded in 2016. ln addition to his business interests, Kareem has served on the boards of local community based organizations and volunteered time to assist applicants for county and city based contracts. As he continues to develop both his professional and personal relationships in South Florida, he aims for opportunities that allow him to serve his community where he can contribute to strategies or actions that promote desired outcomes. PROFESSIONAL LICENSES, CIVIC & OTHER Licensed Realtor (Sales Associate), Florida Life, Health & Variable Annuity Broker, NASD Series 7 (Stock Broker), Series 66 (lAR), CFA lnstitute Miami Chapter (formerly known as Association for lnvestment Management and Research), Adjunct Faculty Member to Miami Dade College. COMM UN ITY CONTRIBUTIONS Florida Blue Key; Historic Overtown Public Health lnitiative (Florida Department of Agriculture); Chair, Kappa Leadership lnstitute (Kappa Alpha Psi Fraternity); Miami Foundation Fellow (Class Vlll); Board, World Literacy Crusade of Florida, lnc.; Citizens'Advisory Committee for the Jackson Miracle-Building Bond Program; Named to The Miami Herald and Legacy Magazine's "Top 40 Under 40 Black Business Leaders of 2015". 302 \ - "hrc -q$1 303 THIS PAGE INTENTIONALLY LEFT BLANK 304 Nicholas R. Gelpi 305 THIS PAGE INTENTIONALLY LEFT BLANK 306 g MIAMIBEACH NAME: Gelpi CITY OF MIAM! BEACH BOARD AND COMMITTEE APPLICATION FORM Nicholas Last Name HOME ADDRESS: 5500 LaEorce Drive First Name Miami Beach FL Middle lnitial 33140 Apt No. Home No./Street PHONE: 646410-5168 646410-5168 City ngelpi@gmail.com State Zip Code Home Business Name: celoi Prolects Llc Email Address position: Architect / Professor Address: 420 Lincoln Road, Suite '140 (MBUS) Miami Beach FL 33139 Streel State Zip Code Pursuant to City Code section 2-22(41a and b: Members of agencies, boards, and committees shall be affiliated with the city; this requirement shall be fulfilled in the following ways: a) an individual shall have been a resident of the city for a minimum of six months; or b) an individual shall demonstrate ownership/interest for a minimum of six months in a business established in the city. o Resident of Miami Beach for a minimum of six (6) months Yes o Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: Yes o Are you a registered voter in Miami Beach: Yes o (Please circle one): I am now a resident of: Middle Beach o I am applying for an appointment because I have special abilities, knowledge and experience. Please list below: Professor of Architecture o Are you presently a registered lobbyist with the City of Miami Beach? No Please list your preferences in order of ranking fll first choice [2] second choice, and [3] third choice. Please note that only three (3) choices will be observed by the City Clerk's Office. (Regular Boards of City) Choice 1: Planning Board Choice 2: Art in Public Places Committee Choice 3: * Board members are required to file Form I - "statement of Financial lnterest" with the State. lf you seek appointment to a professional seat (e.9., lawyer, architect, etc.) on the Board of Adjustment, Design ReviewBoard, Historic Preservation Board or Planning Board, attach a copy of your currently-effectively license, and furnish thefollowing information: Type of Professional License City License lssuance Date License Number License Expiration Date Note: lf applying for Youth Advisory Board, please indicate your affiliation with the Scott Rakow Youth Center: 1. Past service on the Youth Center Advisory Board: po years of Service: 2. Present participation in Youth Center activities by your children No if yes, please list the names of your children, their ages, and which programs. List below: 307 . Have you ever been convicted ofa felony: No lf yes, please explain in detail: o Do you currently have a violation(s) of City of Miami Beach codes: No lf yes, please explain in detail: o Do you currently owe the City of Miami Beach any money: No lf yes, please explain in detail: o Are you currently serving on any City Boards or Committees: Yes Planning Board lf yes, which board? o What organizations in the City of Miami Beach do you currently hold membership in? o I am now employed by the city of Miami Beach: No Which department? o List all properties owned or have an interest in, which are located within the City of Miami Beach: Property 5500 Lagorce Drive Gender: Male The following anformation is voluntary and is neither part of your application nor has any bearing on your consideration for appointment. lt isbeing asked to comply with federal equal opportunity reporting requarements. Race/Ethnic Categories What is your race? Mark one or more races to indicate what you consider yourself to be. White Other Description: Are you Spanish/Hispanic/ Latino? Mark the "No" box if not Spanish / Hispanic / Latino. No PhysicallyChallenged: No NOTE: lf appointed, you will be required to follow certain laws which apply to city board/committee members.These laws include, but are not limited to, the following: o Prohibition from directly or indirectly lobbying city personnel (Miami Beach City Code section 2459).o Prohibition from contracting with the city (Miami-Dade County Code section 2-11.1).o Prohibition from lobbying before board/committee you have served on for period of one year after leaving office (Miami Beach Code section 2-26).o Requirement to disclose certain financial interests and gifts (Miami-Dade County Code section 2-1 1 .1 ).(re: CMB Community Development Advisory Committee): prohibition, during tenure and for one year after leaving office, from having any interest in or receiving any benefit from Community Development Block Grant funds for either yourself, or those with whom you have business or immediate family ties (CFR 570.61 1). Upon request, copies of these laws may be obtained from the City Clerk. 308 "l hereby attest to tho aocuracy and truthfulne3s of the appllcation and have recelved, read and wlll abide by Chapter 2, Artlcle Vll - of the Clty Gode "Standards of Gonduct for Cltyr Offlcers, Employees and Agency members." I Nlcholas Gelpi agreed to the following terms on Received in the City Clerks Oflice by: Name of Deputy Clerk Control No. Date 309 NICK GETPI ASSISTANT PROFESSOR FLORIDA INTERNATIONAL UNIVERSITY (e) ngelpi@fiu.edu (p) 645-a10-s168 1. CURRICULM VITAT EDUCATION Masters of Science in Advanced Architectural Design, Columbia University, 2003. Bachelor of Architecture, Tulane University, Tulane School of Architecture, 2002. FUtt TIME ACADEMIC EXPERIENCE Florida lnternational University, Assistant Professor, Architectural Design, August 2012 - present. Massachusetts lnstitute of Technology, School of Architecture and Planning, Lecturer, Architectural Design, August 2009 - January20L2. The Ohio State University, Austin E. Knowlton School of Architecture, Howard E. LeFevre '29 Emerging Practitioner Fellowship in Architecture, Visiting Assistant Professor, Architectural Design, September 2008 - June 2009. PART-TI ME ACADEMIC EXPER! ENCE Parsons The New School of Design School of Constructed Environments, lnstructor, Summer lntensive Studies in Architecture 2, Summer 2011 + Summer 2012. NON ACADEMIC EXPERIENCE GELPI Projects llc, Miami, F[, Founder and Design Principal, 2011- present. Steven Holl Architects, New York, NY, Lead Project Designer, Project Team Member, 2004 - 2008, 2009. N Architects, NewYork, NY, Project Manager,2004. EMPTOYMENT RECORD AT FIU Assistant Professor, 2012 - present. 310 PUBTICATIONS IN DISCIPTINE BOOKS Gelpi, Nick. FROM REPRESENTATION TO REALITY / The Architecture of Full Scole Mockups. New York: Routledge, Expected publication date Winter 2018. (Book Contruct signed October 2074 Monusctipt submitted to publisher Moy 2078, Expected publicotion dote: Winter 2078.) ARTICLE, PEER REVIEWED "Pervasivefy Exotic: Alien Concrete in Miami." CLOG, MlAMl. Masthead, Canada. (2013) 50-51. ARTICLE' NOT PEER REV'EWED (NPR) "BALLOONING (HOLLOW THIN 3D)Notes on Proctice," in Hirschman, Sarah, ed., TESTING TO FAILURE: Design ond Research in MIT'S Deportment of Architecture, SA+P Press, Combridge,2017, ISBN:978-0-9836554-0-3, ppl94-195. "UNFLAT PAVILION, FAST festivol oI Art Science and Technology, Project," in Hirschman, Sarah, ed., TESTING TO FAILURE: Design ond Research in Mlfs Deportment of Architecture, SA+P Press, Combridge,2011, ISBN:978-0- 9836554-0-3, pp 239-2a4. "Mockups," FORWARD: v 209: ORNAMEM, Fall 2012. Volume 8, No. 2. The Architecture ond Design Journol of the Notionol Associotes Committee, Published biannually by the American lnstitute of Architects (Fall 2009) 14-20. "Material + Assembly," Cox, Martin; Gelpi, Nick; in Carter, Brian; LeCuyer, Annette W.,eds., "EXPERIMENTS lN POROSITY: Steven Holl," University of Buffalo, Buffalo, 2005, ISBN 0-977L057-L-7 , P 35. PROCEEDINGS "LOST AND FOUND lN TRANSLATION: Porodoxicolly Between the Near ond For, The Virtual ond Actual, The Real and Representotionol, ond Between Drowings ond Buildings." 2017 Fall Conference Paper Proceedings ofthe Association ofCollegiate Schools ofArchitecture I CROSSINGS BETWEEN THE PROXIMATE AND REMOTE. Marfa Texas, 2017 Fall Conference,4S-5L. "PAINTING ARCHITECTURE : House Point Povilion in Detroit Michigon," Proceedings of the Association of Collegiate Schools ofArchitecture lnternational Conference. Santiago, Chile. 2015 lnternational Conference I CROSS AMERICAS: Probing Disglobal Networks, 2015. "NATIVE ALI EN: Exotic Concrete House in the Tropics," Proceedings of the Association of Collegiate Schools of Architecture lnternational Conference. Santiago, Chile. 2016 lnternational Conference I CROSS AMERICAS: Probing Disglobal Networks, 2015. 'EXOTIC CONSTRUCTIONS / lncorporating lnvasive Species in the Design-Build Studio," Proceedings of the Association of Collegiate Schools of Architecture Regional Meeting. Halifax, Nova Scotia. 2014 Fall Conference I WORKING OUT: thinking while building. 2014 "MOCK-PI-AY / From Vorkurs to Digital Fabrication and Design-Build," Proceedings of the Association of Collegiate Schools of Architecture Regional Meeting. Halifax, Nova Scotia. 2014 Fall Conference I WORKING OUT: thinking while building. 2014 "TABLE DISTORTIONS," Proceedings of the Association of Collegiate Schools of Architecture Regional Meeting. Halifax, Nova Scotia. 2014 Fall Conference I WORKING OUT: thinking while building. 2014. "ON THE EDGE OF FAILURE / UNFUT PAVILION," Proceedings of the Association of Collegiate Schools of Architecture Regional Meeting. Halifax, Nova Scotia. 2014 Fall Conference I WORKING OUT: thinking while building. 2014. "ADAPTIVE FABRICATIONS: Ropid Directions in Design Build." 311 Proceedings of the Association of Collegiate Schools of Architecture National Meeting. ACSA 102nd NATIONAL CONFERENCE: GLOBALIZING ACHITECTURE: Flows and Disruptions. 2014. "MOCKING THE MUSEUM: COMPELLING EVIDENCE OF PREMEDITATION." ProceedingsoftheAssociationofCollegiateSchoolsofArchitectureRegional Meeting. FtLauderdale,FL.2013ACSA Fall Conference I Subtropical Cities.2013. 'THE UNFLAT PAVILION: A New Responsive Materialism + Adaptive Fabrication." Proceedings of the Association of Collegiate Schools of Architecture Regional Meeting. Ft Lauderdale, FL. 2013 ACSA Fall Conference I Subtropical Cities.2013. "KINETIC FORMS OF KNOWLEDGE FOR DESIGN." Gelpi, Nick, and Shahin Vassigh. ln Knowledge-bosed Design. Proceedings of the 17th Conference of the lberoamerican Society of Digital Graphics, 510-514. SiGraDi. Valparaiso, Chile, 2013. CHAPTERS IN BOOKS Gelpi, Nick. "MOCKUPS." lnThe LeFevre Fellowship, edited by Benjamin Wilke,84-93. Novato CA: Applied Research and Design Publishing. An lmprint of ORO Editions. Gordon Goff: Publisher, Autumn 2018. Gelpi, Nick. "DETAILS." (Chapter introduction) ln OUT OF SCALE / AIA Smoll Projects Awords 2005-2074, edited by Mark Manack, 153. ORO Editions, Spring 2015. PRESENTED PAPERS AND TECTURES LECTURE MUSEUM GARAGE DISCUSSION + WORK OF GELPI PROJECTS, TERRY RILEY, GERMANE BARNES tnstitute of Contemporory Art Miami, October 24th 2078 https://www.icomiomi.org/colendor/roco-tile-museum-goroge-discussion/ LECTURE "Miami Experimental: Expanding the Envelope," FACADES+AM MIAMI / CONFERENCE Miami Hilton Downtown, October 4th2018 http ://a m20lSmiami.facadesplus.com/ LECTURE,,MOCKUPS AND OTHER STRANGE CONSTRUCTIONS," University of Milwaukee Wisconsin, School of Architecture and Urban Planning, FALL LECTURE SERIES, Milwaukee Wl, November 10th 2017. LECTURE,,ON THE POTENTIALS OF PERSONAL FABRICATION IN THE MASS HOUSING MARKET," Presentation to ODL Corporation, Zeeland Michigan, November gth 2017. LECTURE ,,LESS THAN EXOTIC," University of North Carolina Charlotte, September 29th 20L7. lnvited conference (ON LOCATION: four emerging orchitecture practices): AGENCY, GELPI Projects, SILO AR+D, and Studio: lndigenous. These practices deliberately use a specific geography, venue, or cultural context as a means of advancing, positioning, and locating architectural projects. PRESENTED PAPER "LOST AND FOUND lN TRANSLATION," October 2017, Association of Collegiate Schools of Architecture Regional Meeting I Marfa Texas, 2077 Fall Conference I CROSSINGS BETWEEN THE PROXIMATE AND REMOTE. 312 LECTURE,,MATERIALAND FORM,, Featured Speaker for "lNNOVATION" - AIAS SOUTH QUAD CONFERENCE 2017, April ft, 2017. Washington Gallery, Miami Beach Urban Studios, Miami Florida LECTURE,THICKER FACSIMILES" Columbia University, Graduate School of Architecture Planning and Preservation PEDAGOGY lN THE AGE OF DISRUPTION, February 2017 LECTURE "EXPANDING THE PALLETE: HI-TECH TOOLS + LO-TECH FAB" Featured Speaker for FACADES PLUS CONFERENCE I MIAMI 2017, January 26,20L7 . Sponsored by the Architects Newspaper, Faena Forum, Miami Beach FL LEC.|URE + PANEL DISCUSSION A Scientific Spirit: Symposium on Emergent Design Strotegies/ United Notions ond Design Miomi/ Building Legocy Tolk DESIGN MlAMl, MIAMI BEACH FLORIDA, December 15t 2016 Other Presenters and Panelists:Andrew Kudless, Jorgen Platou Willumsen, Stian Korntved Ruud, Oana Stanescu, Skylar Tibbits, Louisi Zahareas, Nick Gelpi. PRESENTED PAPER "PAINTING ARCHITECTURE: HOUSE PAINT PAVLLION lN DETROTT M\CH\GAN," June 29th, 2015. Association of Collegiate Schools of Architecture lnternational Conference 20L6 f' CROSS AMERICAS: Probing Disglobal Networks." Pontifica Universidad Catholica de Chile, Santiago Chile. PRESENTED PAPER "NATIVE ALIEN EXOTIC CONCRETE HOIJSE lN THE TROPICS," June 30th, 2015. Association of Collegiate Schools of Architecture lnternational Conference 2016 l" CROSS AMERICAS: Probing Disglobal Networks." Pontifica Universidad Catholica de Chile, Santiago Chile. PUBLIC JUROR Invited Juror for the HEIN.I-ZELMAN + KREMER DESIGN COMPETITION, MAY 5th, 2015 Best Thesis Projects for SCHOOL OF ARCHITECTURE, KANSAS STATE UNIVERSIW. LECTURE "RECENTWORKAND RESEARCH FROM GELPI PROJECTS" March 22016. University of Miami, Rinker Classroom, Spring 2015 High Noon Lecture Series. LECTURE + PANEL DISCUSSION "MADE lN AMERTCA / SALON TALK," May 14th, 2015. MAISON & OBJET AMERICAS at Miami lronside. PANELISTS: Terry Riley, Kobi Karp, Deborah Wecselman, Nick Gelpi. CONFERENCE INTRO "BUILDING 2050," March 21't 2015. Paul L. Cejas Eminent Scholar Fund, Co-Chairs Nick Gelpi and Elysse Newman, March 2015, Funded conference S14,000.00. LECTURE "MATERIAL CONSEQUENCES," October gth 2014. FALL SEMESTER Symposium / University of Wynwood, Miami, Florida, fallsemester.org PRESENTED PROJECT "ON THE EDGE OF FAILURE / UNFLAT PAVILION," October !7th 20t4. Association of Collegiate Schools of Architecture Regional MeetinS. 2014 Fall Conference l" WORKING OUT: thinking while building." Dalhousie University. Halifax Nova Scotia. 313 PRESENTED PROJECT '"TABLE DISTORTIONS," October 77th 20t4. Association of Collegiate Schools of Architecture Regional Meeting. 2014 Fall Conference | "WORKING OUT: thinking while building." Dalhousie University. Halifax Nova Scotia. PRESENTED PAPER "MOCK PLAY / From VORKURS to Digital Fabrication and Design Build," October LTth 20t4. Association of Collegiate Schools of Architecture Regional Meeting. 2014 Fall Conference | "WORKING OUT: thinking while building." Dalhousie University. Halifax Nova Scotia. PRESENTED PAPER "EXOTIC CONSTRUCTIONS / INCORPORATING INVASIVE SPECIES lN DESIGN-BUILD STUDIO," October 16th 2014. Association of Collegiate Schools of Architecture Regional Meeting. 2014 Fall Conference | "WORKING OUT: thinking while building." Dalhousie University. Halifax Nova Scotia LECTURE "SURFACE + CONSTRUCTS," September 2014. lnvited Lecture with Vladimir Kulic, part of Flagler Village Artwalk at Glavovic Studio, Ft. Lauderdale, FL. LECTURE "MlNlMAL," June 5th 2014. lnvited Lecture, CREATIVE MORNINGS MlAMl, The IAB M|AMl. Miami, Florida. PRESENTED PAPER "ADAPTIVE FABRICATIONS: Rapid Directions in Design Build," April, 2014, Association of Collegiate Schools of Architecture National Meeting. 2014 ACSA 102nd NATIONAL CONFERENCE: GLOBALIZING ACHITECTURE: Flows and Disruptions, Session: Design/Build X-change, Miami Beach, FL. LECTURE + PANEL DISCUSSION "CLOG: MlAMl," February 28th 2014. lnvited Panel Discussion participant, for CLOG MIAMI book launch, The Wolfsonian, Miami Beach, FL. LECTURE + WORKSHOP 'THE ARCHITECTURE of NEW TECHNOLOGIES" February 2014, YOUNG ARTS FOUNDATION, MASTERS CLASS INSTRUCTOR / LECTURE+WORKSHOP, Miami, Florida. PRESENTED PAPER "MOCKING THE MUSEUMT Compelling Evidence of Premeditotion ot the Perez Art Museum of Miomi," October 2013, Association of Collegiate Schools of Architecture Regional Meeting. ACSA FALL CONFERENCE: Subtropical Cities, Fort Lauderdale, Florida. PRESENTED PAPER 'THE UNFLAT PAVILION: A New Responsive Materialism + Adaptive Fabrication," October 2013, Association of Collegiate Schools of Architecture Regional Meeting. ACSA FALL CONFERENCE: Subtropical Cities, Fort Lauderdale, Florida. LECTURE "PRACTICING PRACTICE," April 2013, SPRING LECTURE SERIES, Florida lnternational University, College of Architecture and the Arts. Miami FL. LECTURE + PANEL DISCUSSION "FALSEWORK," January 2012, lnvited Lecture,"WHlTHER INSTALLATION: The Ends of Small-Scale Architectural Work Today Symposium." University of Michigan, Taubman College of Architecture and Urban Planning. Panel members: Nick Gelpi, Monica Ponce de Leon, Benjamin Ball, Jimenez Lai, Elena Manferdini, Ann Arbor, Ml. LECTURE + PANEL DISCUSSION "SCIENCE VS STORWELLINO"June 2011, lnvited lecture '?RCHIPRIX 2011," MASSACHUSETTS INSTITUTE OF 314 TECHNOLOGY, Lecture and Panel Discussion, Participants: Nick Gelpi + Filip Tejchman, Nida Rehman + Daniel Cardoso Llach, Cambridge MA. LECTURE AND PANEL DISCUSSION "UNFUT PAVIL\ON," May 2011, lnvited lecture and panel discussion, MIT's 150th Anniversary Symposium, Festival of Arts Science and Technology, Participants: Nick Gelpi, Sheila Kennedy, Nader Tehrani, Meejin Yoon, Liam O'Brien, Joel Lamere, and Skylar Tibbits. Cambridge MA. LECTURE AND PANEL DISCUSSION "New Directions in Computotionol Design," October 2010, lnvited lecture and panel discussion, moderated by Sanford Kwinter, HARVARD UNIVERSITY, Participants: PaulAndersen, Nick Gelpi, Elena Manferdini, Rhett Russo, David Ruy, Cambridge MA. LECTURE 'THIS lS ONLY ATEST," February 2010, lnvited lecture, MUSEUM OF CONTEMPORARY ART- MlAMl, Time for Design, Designers Forum - Architecture Fonarard, North Miami Beach, FL. LECTURE "MOCKUPS," May 2009, CONFLUENCE: THE SPRING LECTURE SER,ES THE OHIO STATE UNIVERSITY, Knowlton School of Architecture, Columbus, OH. LECTURE "Rl D D LE D F u rnitu re," Novem ber 2007, lnvited lecture, SOUTHERN CALIFORNIA INSTITURE OF ARCHITECIURE, Architect Magazine, First Annual R+D Awards Symposium, Los Angeles, CA. PANEL DISCUSSION PUBLIC JURY/PANEL DISCUSSION, March 2005, Material Connexxion, AIA Center for Architecture, New York, NY. INVITED EXHIBITIONS "ON LOCATION" Storrs Gallery University of North Carolina at Charlotte, September 29 - November 77th,20L7. Conceived and organized by School of Architecture professor Marc Manack, On Locotion brings together the work of four emerging architecture practices: AGENCY, GELPI Projects, SILO AR+D, and studio: indigenous. These practices deliberately use a specific geography, venue, or cultural context as a means of advancing, positioning, and locating architectural projects. FROSTART MUSEUM FIU Faculty and StaffArt Exhibition, August 22nd, 2017 lnstallation of 'TEXTURED LlGHT." SATELLITE ART FAIR 'TEXTURED LIGHT" installation at The Perez Art Museum Miami Contemporaries Penthouse The Parisian Hotel, Miami Beach Fl- December 2016. YOUNG ARTISTS INITIATIVE '"TEXTURED LIGHT" installation at The Moore Building, for DESIGN AND ITS DIMENSIONS. Miami Design District, Miami Florida, October 28th 2016. '"IEXTURAL / recent work of GELPI Projects" Exhibition of models, drawings, details and installations from the recent work of GELPI Projects. Miami Beach Urban Studios, Design Gallery, October 2015 315 MCHAP JURY EXHIBITION MCHAP 2014/2015 EXHIBITION ot5.R. Crown Holl Exhibition of Nominoted Projects lllinois lnstitute of Technology, Chicogo lllinois, 2016 Morch 4th-Sth "lNFlNlW EDGE" in 5x5 Participatory Provocations Group Exhibition curated by Kyle May, Kevin Erickson + Julia Van den Hoot. University of lllinois at Urbana-Champaign, February 15th 2016. Cleveland at the Cleveland Urban Design Collaborative, July 1lth - August 24rh 20L6. Rhode lsland School of Design, Octobet 3'd 2015. New York Center for Architecture, July Uth, 2017. SUMMARY: A travelling exhibit of 25 architectural models by 25 young American architects of 5 contemporary issues, each addressed by 5 firms. PRESS: Messner, Matthew, "Twenty five architects tackle five current issues with 25 models in this lllinois exhibition" Feb 18th 2016, A/N Blog, The Architects Newspaper. Accessed 19 February 2016, http://blog.archpaper.com/20L6l02lSx5.-show-explores-five-current-issues-twenty-five- models/#.VscxSeY3JoN- " PRO D U CTI O NS : ATMOSP H ER ES. O Bt ECTS. S U R F ACES" Curated by Clay Odom, January 25 - March 4th 20L6. The University of Texas at Austin, Mebane Gallery, Goldsmith Hall, Austin, Texas. The exhibition, curoted ond designed by Assistont Professor Cloy Odom, explores concepts reloted to the generotion of spotial, otmospheric ond moteriol effects through the exhibition of exciting, recent projects from o ronge of contemporory, speculotive proctices including: Boumgortner+Uriu, Gelpi Projects, Michoel Honsmeyer, Andres Joque/Office for Politicol lnnovotion, torge Ayolo/[AY]orchitecture, LEONG-LEONG, Atelier Manferdini, Mork Foster Gage Architects, murmur/Heother Roberge, Cotie Newell + Wes McGee, Numen/For Use, Oyler-Wu, Poth, Rael Son Frotello, Philippe Rahm Architectes, SelgasCono, lSSSStudio, Softlob, ond The Very Mony. PBESS; Odom, Clay, ?RODUCTIONS: ATMOSPH ERES. OBJECTS. SURFACES," _ https://soo.utexos.edu/events/productions-otmospheres-obiects-surfoces PULSE MIAMI BEACH CONTEMPORARY ART FAIR Potricio Sweetow Gollery, December 7-5 2015, lndion Beoch Park, Miomi Beoch, Florido. Exhibition of 18 limited edition stools, o colloborotion between Morkus Linnenbrink ond Nick Gelpi. " LI N N E N BR I N K/G E LP I/B RU M IT Wasserman Projects opens its new location in Eastern Market with inaugural exhibition, LINNENBRINK/GELPI/BRUMIT, featuring large scale interactive installations that push the boundaries of art, architecture and sound. WASSERMAN PROJECTS GALLERY, Detroit, 3434 Russell Street, #502 (Sep 25th - Dec 12th 2015) PROJECTS EXHIBITED: PRINTED STOOLS / INTENTIONALLYLEFTBLANK, collaboration between Nick Gelpi + Markus Linnenbrink. HOUSE PAINT PAVILION / THEFIRSTONEISCRAZYTHESECONDONEISNUTS, collaboration between Nick Gelpi + Markus Linnenbrink. "RENOVATIONS,, September 13th - october 23'd 2015. lnstallation of drawings at "RESIDENTIAL PROPERTIES," Curated by Felice Grodin, The Fountainhead Residency, Miami, Florida. 316 PRESS; Tschida, Anne, "Visual arts: Mired in ploce, in Miomi " 09 October 2015, The Miomi Herold. Accessed 09 October 2075, http://www.miamiherald.com/entertainment/visual-arts/article38355203.html INNOVATION AND INTEGRATION IN DIGITAL FABRICATION Group Exhibition curated by John Stuart: Nick Gelpi, Eric Goldemburg, Orlando Garcia, Jacek Kolasinski, Nick Gilmore MIAMI IRONSIDE and FIU College of Architecture + The Arts and Miami lronside, 7610 NE 4th CT, Miami FL 33138, May 15 2015. CREATIVE WORK CURATED EXHIBITIONS "BUILDING 2050" Exhibition of 4 specific buildings from Lotin Americon Architects, Solono Benitez (Poroguoy), Mouricio Rocho(Mexico), Eliso Silvo(Venezuelo), luon lgnocio Cerdo (Chile/, MBUS Main Gallery, Miami Beach, March 2015. "DRAWN FROM MIAMI," Co-Curotor, Exhibition Designer, December 2013 - February 2013, Fellow curators: Terry Riley, Alan Schulman, Jean Francoise Lejeune + Jacob Brillhart. Miami Center for Architecture and Design, Miami, Florida. PRESS: Pucciarelli, Alexandra, "MlAMl TURNS UP THE HEAT," 06 Februory 2074, The Architects Newspoper. Accessed 26 Jonuory 2075, htt p : // o r c h p o p e r. c o m/ n ew s/o rti c I e s. o sp ? i d =7 0 87 #.V MZi eS4m tT s ARCHITECTURAL DESIGN, GELPI Projects (The following selected works ore projects, for which I wos the leod designer responsible for oll design decisions from conception through execution os design principol of GELPI Projects,) SELECIED PRESS: TH E ARCH ITECTS N EWSPAPER "WHO YOU NEED TO KNOW IN MIAMI'S UP AND COMING DESIGN SCENE" By THE EDITORS, April2T 2017 . THE ARCHITECTS NEWSPAPER (MAY ISSUE) ln Print and online https ://a rchpa per.com / 20L7 104/mia mi-u p-and-com ing-design-scene/ MODERN LUXURY INTERIORS SOUTH FLORIDA, MIAMI MAGAZINE "SI NG U LAR SENSATION,, By Adam Pitluk, Jan 3L,2OL7 . ln Print and online: https://modernluxury.com/interiors-south-florida/story/singu lar-sensation MATERIA,,EXOTIC TILE EMERGES FROM THE EVERGLADES" Dec 17 ,20L4, https://materia.nl/article/exotic-tile-emerges-everglades/ 317 CURBED "MEET NICK GELPI: MATERIALS INNOVATOR AND CURBED YOUNG GUN" By Rachel B. Doyle, Dec7,2014. https://www.curbed.com/201 4/t2lLl\OOL7164lmeet-the-2014-curbed-young-guns-nick-gelpi CURBED,,MEET YOUR CURBED YOUNG GUNS FINALISTS: THE TECHNOPIONEERS" Annie Werbler, Nov 19, 2014. https://www.curbed.com/20141tL(]-9h0023526/meet-your-curbed-young-guns-finalists-the- technopioneers CREATTVE WORK/ DESTGN PROJECTS HYPOSWLE PARK (FURNITURE/ ARTIFACTS / PUBLIC INSTALLATION) (2018-present) 500 Square foot design for the construction of a new public seating area to be constructed in the public street's parallel parking spaces, within Miami's DESIGN DISTRICT, Miami FL. (STATUS / DESIGN DEVELOPMENT) THE COCONUT GROVE PTAYHOUSE / RENOVATION AND ADDTTION (BUTLDTNG) (2017) Conceptual Design for the renovation and addition to the historic 1926 Coconut Grove Playhouse, including new community park, public performance facilities, new theater, education spaces and parking garage. Estimated Budget 60 Million. Miami FL. (2017) (STATUS / UNBUILT) EXHIBITIONS: "ON LOCATION,, Storrs Gallery, September 29 - November ltth,2OL7 University of North Carolina at Charlotte, Charlotte, North Carolina. EVENTSTAR OFFICES FU RNITURE ( FU RN rru RE) (20L6-2OL7 | Design of custom furniture for new office buildout, consisting of workstations and conference table. Budget S30,000. (srATUS / BUrLT) TEXTURED LIGHT (ARTTFACT / TNSTALLAflON) (2017) Design and fabrication of a 3D-printed light module, which can be arranged in unique patterns. Module size = 5" x 5", overall installation 24' x 4'. (STATUS / BUILT) EXHIBITIONS: 318 FROST ART MUSEUM FIU Faculty and StaffArt Exhibition, August22 d,2017, lnstallation of 'TEXTURED LlGHT." SATELLITE ART FAIR 'TEXTURED UGHf installation in The Perez Art Museum Miami Contemporaries Penthouse The Parisian Hotel, Miami Beach FL, December 2016. YOUNG ARTISTS INITIATIVE 'TEXTURED LIGHT" installation at The Moore Building, for DESIGN AND ITS DIMENSIONS. Miami Design District, Miami Florida, October 28th 2016. 'TEXTURAL / The recent work of GELPI Projects" Exhibition of models, drawings, details and installations from the recent work of GELPI Projects. Miami Beach Urban Studios, Design Gallery, October 2015 EXOTIC CONCRETE HOUSE (BUtLDtNG) (2014-2016) 2700 square foot addition and renovation of existing 1953 structure, Addition includes the cladding of exterior with an innovative exterior tiling made of reconstituted invasive species trees from the Florida Everglades. Estimated construction budget: 5250,000, Miami Beach FL. (srATUS / BU|LT) AWARDS: MERIT DESIGN AWARD Category: Divine Detail AIA AMERICAN INSTITUTE OF ARCHITECTS, MIAMI CHAPTER DESIGN AWARDS Exotic Concrete House, 2016. ACSA TOP PROJECT WINNER ACSA CROSS AMERICAS INTERNATIONAL CONFERENCE 2015, SANTIAGO CHILE: "NATIVE ALTEN: Exotic Concrete House in the Tropics," June 3Oh 2015. (The competition to be selected to present your project ot the conference wos competitive, with a 38% occeptonce rote. 4 out of the 34 occepted projects were given the Top Projed recognition,) FORWARD THINKING INDIVIDUAL AWARD MIAMI BEACH CHAMBER OF COMMERCE 5th Annual City National Bank Better Beach Awards, From the Miami Beach Chamber of Commerce: April, 2017. FIU TOP SCHOLAR AWARD For project Exotic Concrete House Category of "Award winning publications/creative work." April 2017. EXHIBITIONS: "ON LOCATION" Storrs Gallery, University of North Carolina at Charlotte, Charlotte, North Carolina. September 29 - November L7th,20L7. 319 CROSS AMERICAS: Probing Disglobal Networks / PROJECTS EXHIBITION Association of Collegiate Schools of Architecture lnternational Conference 2OL6 l" CROSS AMERICAS: Probing Disglobal Networks." Pontifica Universidad Catholica de Chile, Santiago Chile. June 29th,20t6. "TEXTURAL / recent work of GELPI Projects" Exhibition of models, drawings, details and installations from the recent work of GELPI Projects. Miami Beach Urban Studios, Design Gallery, October 2016. ,,INSIDE / 5 DESIGN PROJECTS BY NICK GELPI" invited exhibition curated by Helmut Schuster, The Vagabond Motel, pinup space / Gallery, Miami, FL. August 2014. PRESS / PUBLICATIONS: BOOKS: Gelpi, Nick. "MOCKUPS." lnThe LeFevre Fellowship, edited by Benjamin Wilke,84-93. Novato CA: Applied Research and Design Publishing. An lmprint of ORO Editions. Gordon Goff: Publisher, autumn 2018. PROCEEDINGS: Gelpi, Nick. "NATIVE ALIEN: Exotic Concrete House in the Tropics," (2015). ACSA 2016 lnternational Conference: Cross-Americas: Probing Disglobal Networks IProceedings ofthe 2016 lnternational Conference of the Association of Collegiate Schools of Architecture (ACSA)I Santiago de Chile, Chile, 29 June - 1 July, 2016. PRESS; ARCHITECTS NEWSPAPER Matthew Marani, "Sun-kissed Skins: Facades+ Miami will examine facades in tropical Environments." THE ARCHITECTS NEWSPAPER ONLINE, (October 1, 2018): https://archpa per.com/2018/1O/facades-miami-will-examine-facades-in-tropical-environments/ TROPIC MAGAZINE John T. O'Connor, "Little House Big ldeas."TROPlC MAGMINE, (October/November 2017): 76-81. DWELL MAGAZINE Heather Corcoran, "PATTERN RECOGNITION / Using his Miomi Beach home os o laborotory professor ond designer Nick Gelpi tests o moteriol thot recosts concrete's tough imoge." DWELL MAGAZINE, (July / August 2017): 78-82. DWELL MAGAZINE ONLINE Heather Corcoran, "A Professor ond DesignerTests o New Hybrid Moteriol on His Miomi Beoch Home," DWELL MAGAZINE ONLINE, (July 18, 2017), https://www.dwell.com/article/a-professor-and-designer-tests- a-new-hybrid-materia l-on-his-mia mi-beach-hom e-1617 67b3, DWELL MAGAZINE ONLINE "ExOTtC CONCRETE HOUSE," DWELL MAGAZINE ONLINE, (July / August 2017) htt p s : //w ww, d w e I l. co m /h o m e/exoti c- co n cre te -h o u se-e 5 a 5 7a o 0 TULANE SCHOOL OF ARCHITECIURE NEWS 320 "Nick Gelpi (A '02) brings hybrid, wood-based concrete research to his own back yard," July 26,20t7 . TULANE SCHOOL OF ARCHITECIURE NEWS, http://www.architecture.tulane.edu/newsl2OLT/OTlarticle- 2764 ARCHITECT MAGAZINE "This Week in Research: DARPA's New Materials, Wood Concrete, and Color-Changing Walls," January 09, 2015. http://www.architectmasazine.com/technolosv/this-week-in-research-darpas-new-materials-wood-% VOX MEDIA "Solar-Panel Trees, Wood-Based Concrete, and Perfectly Designed Gizmos: Here's Where lnnovation ls Happening," VOX MEDIA, accessed 4-29-L8, https://www.voxcreative.com/sponsored/11963292/solar- panel-trees-wood-based-concrete-a nd-perfectly-desiBned-gizmos MATERIA "Exotic Tile Emerges from the Everglades," December 17,20t4. MATERIA. http://materia.nl/article/exotic- tile-emerges-everglades/ Flu FoUNDERS PARK (BUTLDTNG ELEMENTS / OUTDOOR PLAZA) (2015-2018) A 4500 square foot outdoor park/plaza to commemorate and honor the founding figures of Florida lnternational Universtiy. The Design was directed by Nick Gelpi, with Roberto Rovira, and several graduate students. Materials are to integrate wood-based concrete and other sustainable concrete solutions. The Design work and research was funded by a grant to Wells Fargo, titled "Concrete for A Sustainable Future." (STATUS / DESIGN DEVELOPMENT) EXHIBITIONS: "TEXTURAL / recent work of GELPI Projects" Exhibition of models, drawings, details and installations from the recent work of GELPI Projects. Miami Beach Urban Studios, Design Gallery, October 2016. HOUSE PAINT PAVILION (BUTLDTNG / PAVTLTON) (201s) A 500 square foot pavilion, constructed inside a gallery in Eastern Market, Detroit Michigan, Construction budget 590,000. A design collaboration between Nick Gelpi and German born Brooklyn artist Markus Linnenbrink, which combines the compositional strategies of the artist with the form making strategies of the architect, resulting in an immersive spatial painting environment. (STATUS / BUILT / COMPLETED) AWARDS: MCHAP. EM ERGE 2OL4/ L5 NOM I NATED WORKS (Mies Crown Hall Americas Prize) Project: House Paint Pavilion lllinois lnstitute of Technology, College of Architecture. HONOR AWARD OF EXCELLENCE Category: Divine Detail, 321 AIA AMERICAN INSTITUTE OF ARCHITECTS, MIAMI CHAPTER DESIGN AWARDS HOUSE PAINT PAVILION, October 2015. EXHIB'TIONS: MCHAP JURY EXHIBITION / MCHAP 2OL4/2OLS EXHIBITION at S.R. Crown Hall Exhibition of Nominated Projects lllinois lnstitute of Technology, Chicogo lllinois, 2016 Morch 4th-sth,2076. 'TEXTURAL / recent work of GELPI Projects" Exhibition of models, drawings, details and installations from the recent work of GELPI Projects. Miami Beach Urban Studios, Design Gallery, October 2015 CROSS AMERICAS: Probing Disglobal Networks / PROJECIS EXHIBITION Association of Collegiate Schools of Architecture lnternational Conference 20L5 l" CROSS AMERICAS: Probing Disglobal Networks." Pontifica Universidad Catholica de Chile, Santiago Chile. June 291h,2016. "PRO DUCTIONS: ATMOSPH ERES. OBJ ECTS. SU RFACES," curated by Clay Odom, January 25 - March 4th 2016. The University of Texas at Austin, Mebane Gallery, Goldsmith Hall, Austin, Texas. "LI N N E N BRI N K/G ELPI/BRU M IT" Wasserman Projects opens its new location in Eastern Market with inaugural exhibition, LINNENBRINK/GELPI/BRUMIT, featuring large scale interactive installations that push the boundaries of art, architecture and sound. WASSERMAN PROJECTS GALLERY, Detroit, 3434 Russell Street, #502 (Sep 25th - Dec 12th 2015) PRESS / PUBLICATIONS: BOOKS: Gelpi, Nick. "MOCKUPS." lnThe LeFevre Fellowship, edited by Benjamin Wilke,84-93. Novato CA: Applied Research and Design Publishing. An lmprint of ORO Editions. Gordon Goff: Publisher, Autumn 2018. PROCEEDINGS: Gelpi, Nick. "PAINTING ARCHITECTURE: House Paint Pavilion in Detroit Michigon,o in Proceedings of the Association of Collegiate Schools ofArchitecture lnternational Conference. Santiago, Chile. 2015 lnternational Conference CROSS AMERICAS: Probing Disglobal Networks, 2016. PRESS; ELLE DECOR MAGAZINE Home Design Trends, lN PRINT, (May 2017): 58. DESIGNBOOM Nina Azzarello, "Nick Gelpi constructs an 'inhabitable painting'for markus linnenbring's striped mural." (January 09 2017) DESIGNBOOM, https://www.designboom.com/design/nick-gelpi-projects-markus- linnenbrink-house-paint-pavilion-01-09-2016/ 322 ARTCOLLETOR MAGAZINE Claudia Steinberg, "Motown in Motion," Attcolletor Magazine, Germany, (January 20L61:42-48. THE ARCHITECTS NEWSPAPER Audrey Wachs, "Detroity Toity: Wossermon Projeds, o new gollery spoce in Detroit's Eostern Morket, offers ort ond o plotform for urban regenerotion." (November 16 2015): The Architects Newspaper, http ://archpaper.com/news/articles.asp?id=8332#.Vksuzr83JoN ART-DAILY "Wasserman Projects to open new independent, interdisciplinary arts space in Detroit," (September 03 2015): ART-DAlLY, http://artdaily.com/news lSLL6T lWasserman-Projects-to-open-new-independent- interdisciplina ry-a rts-space-in-Detroit#.VehVepc3JoO INTERIOR DESIGN "Wasserman Projects Opens in Detroit's Eastern Market," 30, October 2015, INTERIOR DESIGN. Accessed 13 November 2015. http://www.interiordesign.net/articles/d etaill37773-wasserman-projects-opens-in- detroits-ea ste rn-ma rket/ WALLPAPER "Detroit design: Wasserman Projects fuses art and architecture," 02, October 2015, WALLPAPER, Accessed online 13 November 2015. http://www.wallpaper.com/design/detroit-design-wasserman-projects-fuses- art-and-architecture#MbSghurGGrssTxM 8.99 CURBED "Wasserman Projects Up and Running at Eastern Market New Gallery's First Show lnclude Grain Silo and lndoor Pavilion," 30, September 2O!5, CURBED, Accessed 13 November 2015. http://detroit.curbed.com/archives/2OLSl09lwasserman-projects-eastern-market-new-gallery- cosmopolitan-chicken-project-linnenbrink.php SPACES "Wasserman Projects is a new creative hub in Detroit's Eastern Market," 25, September 2015. THE SPACES, Accessed 13 November 2015. http://thespaces.com/2OLS{09l25lwasserman-projects-is-a-new-creative- hub-in-detroits-eastern-market/3/ ARCHTTECTS NEWSPAPER, AIN BLOG "New Detroit urbon orts venue Wossermon Projects set to open September 25," 13, November 2075. ARCHITEC|S NEWSPAPER, AIN BLOG, Accessed 73, November 2075. http://blog.orchpaper.com/2075/09/new-detroit-urban-orts-venue-wossermon-projects-set-open/ MODEL D "New arts venue to celebrate Eastern Market grand opening," 22, September 2015. MODEL D, Accessed 13, November 2015. http://www.modeldmedia.com/devnews/WassermanProjectsGrandOpening.aspx CRAIN'S DETROIT BUSI N ESS "Wasserman Projects ready to add to Eastern Market mix: Art center, set to open Sept. 25, aims to contribute to daytime, nighttime activities," 15, September 2015. CRAIN'S DETROIT BUSINESS, Accessed 13, November 2015. http://www.crainsdetroit.com/article/20150915/NEWS/15090990l/wasserman- projects-ready-to-add-to-ea ste rn-market-m ix ARTFIX Daily "Wasserman Projects Opens New Space for Arts in Detroit," 03, September 2015. ARTFIX Daily. Accessed 13, November 2015. http://www.artfixdaily.com/artwire/release/835Gwasserman-projects-opens-new- space-for-a rts-i n-detroit 323 ARTDAILY "Wasserman Projects to open new independent, interdisciplinary arts space in Detroit," September 2015, ARTDAILY, Accessed 13, November 2015. httpl/artdaily.com/newsl8tl67/Wasserman-Projects-to-open- new-independent-interdiscipli nary-arts-space-in-Detroit#.VehQFZc3JoN DETROIT B/DETROIT'S PREMIER BUSINESS JOURNAL '?rt Gallery, Performance Venue to Open in Detroit's Eastern Market," 10, July 2015, DETROIT B/DETROIT'S PREMIER BUSINESS JOURNAL, Accessed 13, November 2015. http://www.dbusiness.com/daily- news/Annual-2015/Art-Gallery-Performance-Venue-to-Open-in-Detroits-Eastern-Market/ CURBED "Wasserman to Open New Art Gallery in Eastern Market," 07, July 2015, CURBED, Accessed 13 November 2015. http://detroit.curbed.com/archives/2015/07/wasserman-projects-3434-russell.php ARTNET "Detroit's Wasserman Projects Offers Chickens, Llamas, and Psychedelic Structures," 14, July 2015, ARTNET, Accessed 13 November 2015. https://news.artnet.com/art-world/wasserman-projects-detroit-312351 INBOUNDS / KTNDERGARTEN FENCE FOR LEHRMAN COMMUNITY SCHOOL (BUTLDTNG / ARTTFACD (201s) A 75 foot long new fence, to be constructed along the perimeter of an elementary school in Miami Beach, The design incorporates playful details, with the goal of stimulating students and creating new active interactions within playful boundaries. (STATUS / UNBUILT) EXHIBITIONS: 'TEXTURAL / recent work of GELPI Projects" Exhibition of models, drawings, details and installations from the recent work of GELPI Projects. Miami Beach Urban Studios, Design Gallery October 2016. WYNWOOD GREENHOUSE PARK (BUtLDtNG / PARK) (2013-201s) A 14,000 square foot park, estimated construction budget: 51,200,000, to be built and unveiled in 2015. Collaborative Design Team, with artist Jim Drain and Landscape Architect Roberto Rovira. Miami, FL (2014) (STATUS / UNBUILT) AWARDS: AWARD OF MERIT Florida American Society of Landscape Architects Design Awards, June 2016. FIRST PLACE in international design competition'The Wynwood Gateway" one of 11 finalist teams out of 230 submissions from 24 countries; September 2014. 324 FIU TOP SCHOLAR AWARD Category of "Award winning publications/creative work." April 2015. For Project: Wynwood Greenhouse EXHIBITIONS: "TEXTURAL / Recent work of GELPI Projects" Exhibition of models, drawings, details and installations from the recent work of GELPI Projects. Miami Beach Urban Studios, Design Gallery, October 2016. PRESS; THE VERGE http://www.theverge.com/sponsored/11532226/solar-panel-trees-wood-based-concrete-and- pe rfectly-d esi gned-gizmos BUSTLER '? closer look at the winning Wynwood Greenhouse garden park to be built in Miami," 06 October 2014, BUSTLER. Accessed 07 October 20L4. http://www.bustler.net/index.php/article/a_closer_look_ot_ th e_wi n ni n g_wy nwood _g re e n h ou se_to_b e _b u i lt_i n _m i o m i ARCHTTECTS NEWSPAPER / Al N BLOG Melcher, Henry. "A Greenhouse-lnspired Park To Bring New Public Space To Miami's Wynwood Arts District," 29 September 2014, ARCHITECTS NEWSPAPER / A I N BLOG. Accessed 01 October 2014. http://blog.archpaper.com/wordpress/archives 19t77 2*.Y CvqRVcyt8E BUSTLER "'Wynwood Greenhouse" gets 7't ploce in DownTown's Wynwood Gotewoy Pork Competition in Miomi,' 29 September 2014. BUSTLER. Accessed 01 October 2014. http://www.bustler.net/index.php/article/wynhouse_green3ets_1st_place_in_dawntowns_wynwood_ gateway_pa rk_com petition/ ARCHINECT NEWS Testado, Justine.'Wynwood Greenhouse" gets 7st ploce in DownTown's Wynwood Goteway Pork Competition in Miami,30 September 2014. ARCHINECT NEWS, Accessed 01 October 2014. http://archinect.com/news/article/110179885/wynwood- greenhouse-gets-1st-place-in-dawntown-s- wynwood-gateway-pa rk-competition-in-miami THE MIAMIHERALD Viglucci, Andres. "Miomi ortist, orchitects win design competition for new Wynwood pork," 25 September 2014. The Miami Herald. CURBED McCaughan , Sean. "Epic 'Greenhouse' Design Wins for Wynwood Gotewoy Pork, " 25 September 2014. Miami.Curbed. Accessed 25 Sep 2014. http://miami.curbed.com/archives/20L4109/25/epic-greenhouse- desi gn-wi ns-for-wynwood-gateway-pa rk. p h p MIAMI NEW TIMES Bach, Trevor. "Wynwood ls Getting o New Pork ond lt Looks Like o Greenhouse," 26 September 2014. Miami New Times. Accessed 26 Sep 2014. http://blogs.miaminewtimes.com/riptide/2014/09/greenhouse_park_coming_to_wynwood.php THE MIAMIHERALD 325 Brannigan, Martha. "Metro 1 Properties Focuses on Miomi's Hip, Urbon Real Estate," 22 September 2014. Miami Herald. Accessed 25 Jan 2015. http://www.miamiherald.com/real-estate/article2205945.html TROPIC MAGAZINE McCaughan, Sean. '? Greenhouse Without the Gloss: Tony Cho Brings o Greot New Pork to Wynwood." November 2074, Tropic Mogozine, pp 704-705. Accessible online: http ://tropicmagazi ne. u berflip.com/i/408559 PRINTED STOOLS (FURNTTURE / ARTTFACT) (2014) A set of seating elements constructed of off the shelf wooden dowels joined with customized 3D printed sockets. (2014) (srATUS / BUrLT) EXHIBI|ED: 'TEXTURAL / the recent work of GELPI Projects" Exhibition of models, drawings, details and installations from the recent work of GELPI Projects. Miami Beach Urban Studios, Design Gallery, October 2015. PULSE MIAMI BEACH CONTEMPORARY ART FAIR Patricio Sweetow Gollery, December 7-5 2075, lndion Beoch Pork, Miami Beoch, Florida. Exhibition of 18 limited edition stools, o colloboration between Morkus Linnenbrink ond Nick Gelpi. ,,LI N N ENBRIN K/GELPI/BRUM Wasserman Projects opens its new location in Eastern Market with inaugural exhibition, LINNENBRINK/GELPI/BRUMlT, featuring large scale interactive installations that push the boundaries of art, architecture and sound. WASSERMAN PROJECTSGALLERY, Detroit,3434 Russell Street, #502 (Sep 25th- Dec 12th 2015) "The World of Mr. Somebody ond Mr. Nobody," December 2014, Curated by Sharon Lombard, Heidi Chisholm, Cathy Leff + Craig Robins, The Miami Design District, 91 NE 40th Street, Miami Design District, Miami, FL. "lNSlDE / 5 design projects by Nick Gelpi," (Solo Exhibition) August 2014, invited exhibition curated by Helmut Schuster, The Vagabond Motel, pinup space / Gallery, Miami, FL. TABTE DISTORTIONS (FURNtTURE / ARTIFACD (2013) A 5 x 18 foot long digitally fabricated system of interchangeable tables, based on Michael Thonet's No. 14 Chair, Construction Budget: 510,000. Miami Beach, FL. (STATUS / BUILT) PRIZES: 326 FIRST PUCE Open competition: SIX COMPONENTS AND A HANDFUL OF SCREWS, June 2013, THE WOLFSONIAN MUSEUM, MIAMI BEACH FLORIDA. PROPOSAL-EnIry'TABLE DISTORTIONS" (One of three finalists selected as a result of online and in person voting by the public and judges.) EXHIBITIONS: "TEXTURAL / Recent work of GELPI Projects" Exhibition of models, drawings, details and installations from the recent work of GELPI Projects. Miami Beach Urban Studios, Design Gallery, October 2016. WORKING OUT: thinking while building, PROJECT EXHIBITION ACSA 2014 Fall Conference, Halifax, Nova Scotia, 2014. ,,TABLE DISTORTIONS" Exhibition o/Competition winning table installation on display in the lobby of the Wolfsonian in Miami Beach. The Wolfsonian FlU, Miami Beach, FL. February 2074. "lNSlDE / 5 design projects by Nick Gelpi," (Solo Exhibition) invited exhibition curated by Helmut Schuster, The Vagabond Motel, pinup space / Gallery, Miami, FL. August 2014. PRESS / PUBLTCATTONS: BOOKS: Gelpi, Nick. "MOCKUPS." lnThe LeFevre Fellowship, edited by Benjamin Wilke,84-93, Novato CA: Applied Research and Design Publishing. An lmprint of ORO Editions. Gordon Goff: Publisher, Autumn 2018. PROCEEDINGS: 'TABLE DISTORTIONS," Proceedings of the Association of Collegiate Schools of Architecture Regional Meeting. Halifax, Nova Scotia. 2014 Fall Conference I WORKING OUT: thinkingwhile building. 2014. PRESS, Gollin, Andrea. "We Have a Winner! Lobby Table Design Challenge," September 26,20L3, Wolfsonian Newsletter. Accessed 25 January 2015, http://www.wolfsonian.orglcontent/we- have-winner-lobby-table-design-challenge. Gollin, Andrea. "Finalists in Lobby Table Competition," August, 2013, The Wolfsonian Newsletter, Accessed 25 January 2015, http://www.wolfsonian.orglcontent/finalists-lobbv-table-comoetition. FORCE FRAM ES INSTAUATION (ART| FACr / I NSTALLAION ) (2013) 200 square foot digitally fabricated structural prototype, Construction budget: 53500, BEA GALLERY, Miami FL, (2013) 327 (rrorr, / ,r,,r) EXHIBITIONS: FORCE FRAMES, Florida lnternational University, October 2014-January 2014, BEA INTERNATIONAL GALLERY FlU, Miami, FL. 'lNSlDE / 5 design projects by Nick Gelpi" (Solo Exhibition) August 2014, invited exhibition curated by Helmut Schuster, The Vagabond Motel, pinup space / Gallery, Miami, FL. ,rrl-,a STAN D (r NSTALLATTON) (2013) Competition entry for a 1000 square foot public installation, Estimated Construction Budget S10,000, Miami FL. Design Collaboration with GELPI Projects and L.E.FT. Architecture, NY + Beirut. Principals, Makram El Kadi + Ziad Jamaleddine. (STATUS / UNBUILT) AWARDS: Finalist, DAWNTOWN DB2 - lnternational Design/Build Competition (One of 15 finalists from 110 entries). THE UNFIAT PAVIUON / HOLOGRAM HOUSE (BUTLDTNG / PAVTLTON)(2011) A 1000 square footfreestanding public pavilion. Construction Budget: 515,000, sited alongthe Charles River on Memorial Drive, Massachusetts lnstitute of Technology, Cambridge Massachusetts. (2011) (STATUS / BUILT) EXHIBITIONS: "TEXTURAL / Recent work of GELPI Projects" Exhibition of models, drawings, details and installations from the recent work of GELPI Projects. Miami Beach Urban Studios, Design Gallery, October 2016. WORKING OUT: thinking while building: PROJECT EXHIBITION ACSA 2014 Fall Conference. Halifax, Nova Scotia, 2014. "lNSlDE / 5 design projects by Nick Gelpi,' (Solo Exhibition) August 2014, invited exhibition curated by Helmut Schuster, The Vagabond Motel, pinup space / Gallery, Miami, FL. F.A.S.T. (Festival of Arts Science and Technology) lnvited Group Exhibition of installations for MlTs 150th Anniversary May-June 2011, Massachusetts lnstitute of Technology campus, Cambridge Massachusetts. 328 PRESS / PUBLICATIONS: BOOKS: Gelpi, Nick. "MOCKUPS." lnThe LeFevre Fellowship, edited by Benjamin Wilke, 84-93. Novato CA: Applied Research and Design Publishing. An lmprint of ORO Editions. Gordon Goff: Publisher, Autumn 2018. "UNFUT PAVILION, FAST festivol ol Art Science ond Technology, Project," in Hirschman, Sarah, ed., IESIING TO FAILURE: Design ond Reseorch in MIT's Department of Architecture, SA+P Press, Combridge, 2011, ISBN :978-0-9836654-0-3, pp 239-244. PROCEEDINGS: Gelpi, Nick. "ON THE EDGE OF FAILURE / UNFLAT PAVILION," Proceedings of the Association of Collegiate Schools of Architecture Regional Meeting. Halifax, Nova Scotia. 2014 Fall Conference I WORKING OUT: thinking while building. 2014. Gelpi, Nick. 'ADAPTIVE FABRICATIONS: Ropid Directions in Design Build." Proceedings of the Association of Collegiate Schools of Architecture National Meeting. ACSA 102nd NATIONAL CONFERENCE: GLOBAUZNG ACHITECTURE: Flows and Disruptions. 2014. Gelpi, Nick. "THE UNFLAT PAVILION: A New Responsive Materialism + Adaptive Fabrication." Proceedings ofthe Association ofCollegiate Schools ofArchitecture Regional Meeting. Ft Lauderdale, FL. 2013 ACSA Fall Conference I Subtropical Cities. 2013. PBESS.' http://www.arch2o.com/nick-celpi-s-u nf lat-pavilion-nick-eelpi/ BALTOON BARN (BUtLDtNG) (2010) A 500 square foot exotic vernacular building. Variation on the typical Pole Barn, and Balloon Frame. (Budget: 510,000) New Orleans, LA. (STATUS / BU|LT) PRESS / PUBLICATIONS: "BALLOONING (HOLLOW THIN jD)Notes on Proctice," in Hirschman, Sarah, ed., TESTING TO FAILURE: Design ond Reseorch in Mlfs Deportment of Architecture, SA+P Press, Combridge, 2017, ISBN :978-0-9836654-0-3, pp194-t95. MOCKUPS (ARrFACrs) (200e) A collection of 15 bent plywood models and structural prototypes. Budget: 55,000, Columbus Ohio, (2009) 329 (srATUS / BUrLT) EXHIBITIONS: "MOCKUPS: The Howard E. Lefevre Emerging Practitioner Exhibition," The Banvard Gallery, Austin E. Knowlton School of Architecture, The Ohio State University, Columbus, OH, April - June 2009. PRESS / PUBLTCATTONS BOOKS: Gelpi, Nick. "MOCKUPS." lnThe LeFevre Fellowship, edited by Benjamin Wilke, Srt-93. Novato CA: Applied Research and Design Publishing. An lmprint of ORO Editions. Gordon Goff: Publisher, Autumn 2018. PROCEEDINGS: Gelpi, Nick. "MOCK-PLAY / From Vorkurs to Digital Fabrication and Design-Build," Proceedings of the Association of Collegiate Schools of Architecture Regional Meeting. Halifax, Nova Scotia. 20t4Fall Conference I WORKING OUT: thinking while building. 2014 JOURNALS Gelpi,, Nick. "Mockups." ln FORWARD: v 209: ORNAMENI, Volume 8, No. 2. 14-20. The Architecture ond Design Journol of the Notional Associotes Committee, Published biannually by the American lnstitute of Architects (Fall 2009). ARCHTTECTURAL DESIGN, STEVEN HOtt ARCHITECTS, (200s-2009) The following selected works ore projects, lor which I octed os o proiect teom member or leod designer / "Project Architect" while on employee of Steven Holl Architeds in NYC. 2(X)& Akbuk Peninsula ResoG Akbuk, Turkey, [Project Architect] STEVEN HOLL ARCHITECIS, Mixed use housing, commercial, landscape and public programs, 2,000,000 sf, low ecological footprint, Schematic Design - Construction Documents. Status Pre Construction. 2fl)7, The Hudson Yards, New York, NY, [Project Architect] STEVEN HOLL ARCHITECTS, Master plan mixed - use project, 11.3 million sf of building with new public park, Schematic Design + Design Development, Managed design development, completion and submission of Design Bid Package with Extell Development Company to NYC MTA Hudson Yards request for proposals. PRESS Lange, Alexandra, "PARSING THE YARDS," THE ARCHITECTS NEWSPAPER, January 23, 2008. 330 Huxtable, Ada Louise, 'THE HUDSON YARDS PROPOSA6," The Wall Street Journal, January 2,2008. Millard, Bill, "WEST SIDE RAILYARD PROPOSALS UNVE|LED," Architect Magazine, January 2008. Bagli, Charles V., '1N RAILYARDS, SEEING A BLANK CANVAS ON THE HUDSON," The New York Times, November ]-9,2007. Ouroussoff, Nicolai,"STEVEN HOLL ARCHITECTS PRESENTS DESIGN PROPOSAL FOR HUDSON YARDS THAT SETS A 21ST CENTURY URBAN EXAMPLE." The New York Times, November 24,2007. 2005-2008, RIDDLED Furniture Series, [Designer] HORM Furniture Manufacturing, Design Team: Steven Holl + Nick Gelpi. An award winning line of commercially available furniture constructed of a custom wooden laminate. Riddled Cabinet, Riddled Table, Riddled Glass Top Table, Riddled Hingeless Front, Quartodiluna Mirror, Riddled Chandelier. AWARDS + PRESS "Riddled Furniture," in Brownell, Blaine, ed., Tronsmaterial 2- A Cotolog of Moteriols Thot Redefine Our Physicol Environment. New York, Princeton Architectural Press, 2008. "Riddled Furniture,' First Annual R + D Award," ARCHITECT Magazine, Hanley Woods, September 2007, 80-81. "Shadow Boxing," Architectural Record, McGraw Hill, December 2005, p 247. "Des Pleins et des Vides, Steven Holl," Techniques and Architecture, Jean Michel Place, Paris, June-July 2006, pp728-L29. Capelli, Eleonora; "Symphony of Solids and Voids," Ottagono, V 189 April 2005, pp 134-L37. "ll Mobile Declinato, Furniture Evolved," BOX: Progetto e Percorsi, Milon, April 2006, pp 4-7. 2OOS - 2007, DE Shaw Research Center, New York, NY, [Project Architect] STEVEN HOLL ARCHITECTS, 32nd floor of high-rise office building, Schematic Design - Design Development, Construction Documents, Construction Administration, status BUILT. PRESS De Giorgi, Monolo, "The Supercomputer and the Books," DOMUS 974, Moy 2008, 3641. 2fl)6, Vanke Center, Shenzen, China, IProject Team] A mixed-use building including hotel, offices, condominiums, and public park, 1.3 million sf, schematic design - design development, status BUILT. AWARDS GREEN GOOD DESIGN AWARD, USA, 2O1O AIA NY ARCHITECTURE HONOR AWARD, USA, 2O1O ARCHITECTURAL RECORD CHINA,,'GOOD DESIGN IS GOOD BUSINESS', AWARD, BEST GREEN PROJECT, China,2OlO AIA INSTITUTE HONOR AWARD, USA, 2011 AIA NY HONOR AWARD, USA, 2011 AMERICAN ARCHITECTURE AWARD, USA, 2011 FEDERATION INTERNATIONALE DU BETON, Switzerland, 2014 20OO Highline Hybrid, New York, NY, [Project Team] Mixed use hFrise building on far westside of Manhattan, Schematic Design, Status - Unbuilt. 2005, Porosity / Luminosity Exhibition, Gallery MA, Tokyo, Japan, [Project Architect] STEVEN HOLL ARCHITECTS, Exhibition of Steven Holl Architects catalogue of work organized around the concept of "Luminosity," 3 room gallery + courtyard installation, Schematic Design - Construction Administration, Status - BUILT. 331 PRESS Gyoon, Jung Byoung, "Review ol Exhibition Luminosity / Porosity by Steven Holl," BOB: lnternotionol Mogozine of Spoce Design, Seoul, V25, 2006, pp 166-169. Keuning, Dovid, 'The Light Stull," MARK #5, Dec 2005 -Jon 2007, P 29. 2OO5, NYU Deportment ol Philosophy Building, New York, NY, [Project Team] STEVEN HOLL ARCHITECTS, renovation. Status - BUIIT. AWARDS AIA NEW YORK EDUCATIONAL DESIGN AWARD, USA, 2OO8 2fi)5, Sail Hybrid, Knokke Heist, Belgium, [Project Architect] STEVEN HOLL ARCHITECTS, lnvited Design Competition, 230,000 square feet, Result - FIRST PIACE. AWARDS NY AIA Citation, USA, 2005 PRESS "Redesign Competition for Casino Knokke-Heist," CONCEPT: lnternational Magazine of Competition; v 77, Seoul, 2005, Pp 88-95. 2005, Busan Cinema Complex, Busan, South Korea, [Competition Project Team], STEVEN HOLL ARCHITECTS. lnvited Design Competition 38,000sqm, Pusan lnternational Film Festival, PROGRAM: 6 cinemas (including on open air cinema), conference rooms, event spaces, exhibition galleries, retail, restaurant, caf6, working loft, cinematheque, grand theater, visual media center. Result-FINALIST. 2(X)5, Iouvre / Lens, Lens, France. [Project Team]lnvited Design Competition, New branch of exhibition and archive building for the Louvre Museum, lnvited competition. Result - FlNAtlST. 2m4-2005, Experiments in Porosity, Milan, ltaly, IProject Architect] STEVEN HOLL ARCHITECTS, lnstallation, custom fabrication, part of group show titled, "Entrez-Lentement", Travelled to Sci-arc Gallery, Los Angles, Gallery MA, Tokyo Japan, and Higgins Hall Gallery -Brooklyn. Responsible for Concept Design through construction and lnstallation. status - BUILT. PRESS lOVlNE, JULIE V., 'ln Milon, Reimogining Legends," 74 April 2005, The New YorkTimes, Accessed 25 Jon 2015, http:/ /wvrw.nytimes.com I 2OOSI 041 L4l garden/14milan.html "BL-Special," in Brownell, Blaine, ed., Tronsmoteriol - A Cotolog of Moteriols Thot Redefine Our Physicol Environment. New York, Princeton Architectural Press, 2005. ISBN 1-56898-563-0, P 84. 2fi)4, BibliothCque Communautaire, Clermont-Ferrand, France, IProject Architectl lnvited Design Competition, 3Q000sqm, Program New Public Library. Result - Runner Up. 2fi18, Porosity 8endr, New York NY Johnson Trading Gallery, lDesigner] Design Team: Steven Holl + Nick Gelpi. Porosity Bench, featured in art Basel/Miami at Johnson Trading Gallery, 2008. A custom fabricated bench constructed of solid bamboo planes with digitally cut interlocking edges. lt is a seat to see through, which casts shadows and patterns of light. The bench was commissioned by Johnson Trading Gallery from New York City to be produced in a limited edition of 10. 2q)9, STEVEN HOIL ARCHITECTS, NYC [PAYED RESEARCHER] Advanced Fabrication Researcher. ARCHIftCrURAL DESIGN, n-ArchitecB NYC 332 2004, CANOPY, [Project Team + Project Manager, Young Architects Program, PS1 Contemporary Art Center, Long lsland NY, 2004. PRESS "nARCHITECTS cANoPY," LoTUS tnternational, v125, Milano, 2005, Pp tl2-t17. BARRENECHE , RAUL A. "DESIGN NOTEBOOK; ln Fine Form, Bamboo Shows Off lts Curves," THE NEW YORX TIMES, June 24,2004. WORKS IN PROGRESS BOOIG IN PROGRESS Gelpi, Nick. FROM REPRESENTATION TO REALITY /The Architecture of Full Scole Mockups. New York: Routledge (Taylor and Francis Group), Book Contract signed Oct.2014, Book Manuscript Submitted to publisher, (expected publication date) 2018. COMMISSIONED WORK IN PROGRESS FIU FOUNDERS PARK FIU Founders Park, 5,000 square foot park plaza, estimated construction budget of51,500,000, Miami Florida, 2014- present. (STATUS / DESIGN DEVELOPMENT) HYPOSTYLE PARKLET (FURNITURE/ ARTIFACTS / PUBLIC INSTALLATION) 500 Square foot design for the construction of a new public seating area to be constructed in parallel parking spaces, within Miami's DESIGN DISTRICT, Miami FL. (STATUS / DESIGN DEVELOPMENT) FUNDED RESEARCH IN PROGRESS Agency: Wells Fargo Foundationlnvestigators: Nick Gelpi, (Pl), Roberto Rovira, (co-investigator) John Stuart, (co-investigator)Project: "Woodcrete: The Concrete for o Sustoinoble Future"Dotes: 2015-2018AmountofFunding: 575,000 FUNDED RESEARCH Agency: CARTA INTERDISCIPIINARY SEED GRANTlnvestigator: Michael Namkung, (Pl), Gwyn Davies, (co-investigator) Nick Gelpi, (co-investigator)Project: Bock to the Drowing Boord: A Two-Doy Symposium on Drowing Reseorch ond PructiceDotes: 2Ot6-2017 Amount of Funding: SS,OOO Agency: FIU DIVISION OF RESEARCHlnvestigator: Nick GelpiProject: "FABRICATIONS with Wood Based Concrete, Seed Funding"Dates: 2015AmountofFunding: 520,000 333 Agency: AIIED PREFERlnvestigator: Nick GelpiProject: "Woodcrete"Dotes: 201.3-20t4 Amount of Funding: 537,500 PROPOSAIS SUBMITTED BUT NOT FUNDED "New Hybrid Materials: Wood-Concrete and its Application in Architectural Design," Faculty Research Support Program (FRSP), May 2013-April 2014, S30,000. (Nick Gelpi, Project Director, Shahin Vassigh, Project Co-Director) PATENT DISCLOSURES, APPLICATIONS, AND AWARDS N/A PROFESSTONAL HONORS, PRIZES, FEttOWSHtPS NOMINATIONS: EMERGING VOICES NOMINEE 2015 ARCHITECTURE LEAGUE OF NEW YORK PSl YOUNG ARCHITECTS PRIZE NOMINEE Museum of Modern Nt,2077 Nominator: Terry Riley MCHAP. EM ERGE 2OL4/ L5 NOM INATED WORKS (Mies Crown Hall Americas Prize) Project: House Paint Pavilion lllinois lnstitute of Technology, College of Architecture. http://www.arch.iit.edu/prize/mchap/selected-works/project/installation-at-wasserman-projects PSl YOUNG ARCHITECTS PRIZE NOMINEE Museum of Modern Art, 2016 Nominator: Jason Chandler EMERGING VOICES NOMINEE 2016 ARCHITECTURE LEAGUE OF NEW YORK PRIZES: FORWARD THINKING IN DIVIDUAL from the Miami Beach Chamber of Commerce 5th Annual City National Bank Better Beach Awards, 2017. http://www.miamibeachchamber.com/wp-content/uploads/201:610612017-press-release-CNB-BBA-WlNNERS.pdf 334 FIU TOP SCHOLAR AWARD Category of "Award winning publications/creative work." April 2017 AWARD OF MERIT The Miami Chapter of the American lnstitute of Architects, Project: "EXOTIC CONCRETE HOUSE" Category: "Divine Detoil" AIA Design Awards Program, October 2016 ACSATOP PROJECT WINNER ACSA CROSS AMERICAS INTERNATIONAL CONFERENCE 2016, SANTIAGO CHILE: "NATIVE ALIEN: Exotic Concrete House in the Tropics," June 3Oh 2015 (The competition to be selected to present your project ot the conference wos competitive, with a 38% occeptonce rote. 4 out ol the 34 accepted projects were qiven the Top Project recoqnition.) RESEACH AND CREATIVE WORK AWARDS FIU CARTA, 2015 HONOR AWARD OF EXCELLENCE The Miami Chapter of the American lnstitute of Architects, Project: "House Point Povilion," Category: "Divine Detoil" AIA Design Awards Program, October 2015 FIU TOP SCHOLAR AWARD Category of "Award winning publications/creative work." April 2015 CURBED NATIONAL YOUNG GUN 2014 December Lst 20L4, One of ten national award winners from over 35 finalists and hundreds of nominations nationally. http://curbed.com/archives/2Ota/D/0L/meet-the-2014-curbed-young-guns-nick-gelpi.php PRESS Doyle, Rachel B. "Meet Nick Gelpi: Materials lnnovator and Curbed young Gun," 01 December 2014, CURBED NATIONAL Accessed 01 December 20t4. htlp:llcurbed.com/archives/2O14lL2lO1lmeet-the- 2014-curbed-young-guns-nick-gelpi. php Werbler, Annie. "Meet Your Curbed Young Guns Finalists: the Technopioneers,"l9 November 2014, CURBED NATIONAL. Accessed 19 October 2OL4.http:l/curbed.com/archives/2OL4ltl/L9lmeet-your- cu rbed-young-guns-fi nb lists-the-technopioneers.php FIRST PLACE WYNWOOD GATEWAY PARK COMPETITION, September2014, Proposal Titled "Greenhouse." Collaborative Design Team, with Jim Drain and Roberto Rovira. (First place from one of 230 submissions from 24 countries.) FINALIST DAWNTOWN DESIGN BUILD DB2 COMPETITION, April 2014, lnternational Design/Build Competition, One of fifteen finalists selected from over one hundred teams who entered the first phase of the competition, submitting a portfolio of creative work that also outlined their design philosophy. A Design Collaboration between GELPI Projects, Miami + L.E.FT. Beirut + NY. PROPOSAL - "PUBLIC STAND" Miami FL. (One of 15 finalists from 110 entries) FIRST PLACE SIX COMPONENTS AND A HANDFUL OF SCREWS, June 2013, THE WOLFSONIAN MUSEUM, MIAMI BEACH FLORIDA. PROPOSAL-,TABLE DISTORTIONS" (One of three finalists selected as a result of online and in person voting by the public and judges.) FINALIST 335 DAWNTOWN DESIGN BUILD COMPETITION, November 20t2,lnternational Design/Build Competition. (One of sixteen finalists from over 110 entries of international applicants. Miami, FL.) HONORABLE MENTION 2010, PAMPHLET ARCHITECTURE COMPETITION / PRINCETON ARCHITECTURAL PRESS PAMPHLET Architecture 32: RESILIENCE, PROPOSAL "System Failure." FIRST PLACE First Annual R + D Award, ARCHITECT Magazine, September 2007, PROJECT: "Riddled Furniture." (Nick Gelpi + Steven Holl) FETLOWSHIPS Howard E. LeFevre'29 Emerging Practitioner Fellowship in Architecture, 2008 - 2009, The Ohio State University, Austin E. Knowlton School of Architecture, PROPOSAL: MOCKUPS. OFFICES HEtD IN PROFESSIONAT SOCIETIES PROFESSIONAL REG ISTRATION Licensed Architect State of Florida Completed all sections of Architectural Registration Exams including, Schematic Design, Programming/Planning and Practice, and Site Planning and Design, Construction Documents and Services, Building Systems, Structural Systems, + Building Design & Construction Systems. Professional License in State of Florida expected to be issued June 2018. MIAMIBEACH PLANNING BOARD MEMBER January 2017-Present. ARCHITECT MEMBER OF THE AIA 2018-Present. ASSOCIATE MEMBER OF THE AIA 20t4-20L8. FACULTY COUNCILOR American Collegiate Schools of Architecture ,2076-20L8. EXHIBITION COMMITTEE MEMBER American lnstitute of Architects, Miami Center for Architecture and Design, Miami Chapter 2OL3-2014. ASSOCIATE EDITOR Forword 272: IDENTITY, Foll 2072, Volume 12, No. 2.The Architecture and Design Journol of the Notionol Associotes Committee, Published biannually by the American lnstitute of Architects. 336 OTHER PROFESSIONAT ACTIVITIES AND PUBTIC SERVICE 2018 Miami Beach Planning Board Member,20t8. ACSA Faculty Councilor, 2018. ACSA ABSTRACT REVIEWER, 2018 ACSA Fall Conference I PLAYwith the Rules Host School : University of Wisconsin-Milwaukee Co-chairs: Jasmine Benyamin, Nikole Bouchard, Whitney Moon, Kyle Reynolds, & Mo Zell, UWM FlU, School of Architecture, Lecture Committee Chair, 2018. FlU, School of Architecture, Design 3 Studio Coordinator, fall 2018. FlU, University, Lead Designer and Faculty Advisor for Design of FIU FOUNDERS PARK, 2018. 20L7 Miami Beach Planning Board Member,20L7. ACSA Faculty Councilor, 2017. FIU School of Architecture, Lecture Committee Chair,20L7. Ff U, School of Architecture, Design 3 Studio Coordinator, fall20L7. FlU, University, Lead Designer and Faculty Advisor for Design of FIU FOUNDERS PARK, 2017. 20t6 ACSA Faculty Councilor, 2015. ACSA Faculty Advisor, for lnternational Student Design Competition: "CONCRETE THINKING: for a sustainable world," 2015. FIU School of Architecture, Lecture Committee Chair, 2016. FIU School of Architecture, Faculty Search Committee, BUILDING TECHNOLOGY POSITION, 2015. FlU, School of Architecture, Design 3 Studio Coordinator, fall 2016. 337 FlU, University, Lead Designer and Faculty Advisor for Design of FIU FOUNDERS PARK. 2015 FlU, School of Architecture, Design 4 Studio Coordinator, spring 2015. FlU, Scholarship Jury Member, BEA lnternational Scholarship, Quintana Scholarship, SPRING 2015. FlU, School of Architecture, Lecture and Exhibition Committee Member, 2015. FlU, School of Architecture, Digital Technology Committee Member, 2015. FlU, School of Architecture, Curator, Design lnstallation, William Obrien Jr., "SEVEN: A Numbers Game," BEA Gallery, FEB-APR 2015. FlU, School of Architecture, Symposium Co-Chair, with Winifred Newman, Cejas Foundation Symposium: BUILDING 2054 March 20-2L,20t5. FlU, University, Lead Designer and Faculty Advisor for Design of FIU FOUNDERS PARK. 2014 YOUNG ARTS, Masters Class lnstruclor,20L4. AIA MIAMI EXHIBITION COMMITTEE member, Co-Curator of the inaugural exhibition "DRAWN FROM MlAMl," 2014. FlU, Little River Design Charrette Faculty Advisor with Jason Chandler, Roberto Rovira, Mark Marine, FIU by Design, 2014. FlU, College, Leadership Role in Securing Gift, Bernard Tschumi Drawing of PCA Building, spring 2014. FlU, School of Architecture, BEA Scholarship Committee, BEA lnternational Scholarships, Quintana Scholarship, spring 2014. FlU, School of Architecture, Lecture and Exhibitions Committee Member, 2014. FlU, School of Architecture, Spring Design Charrette Coordinator, "COMPUINT," Spring20L4. FlU, School of Architecture, Design 4 Studio Coordinator, Spring 2014. FlU, School of Architecture, Digital Technology Committee Member, 2014. 2013 AIA MIAMI EXHIBITION COMMITTEE, 2013 YOUNG ARTS, Masters Class lnstructor, 2013. 338 FIU, School of Architecture, Spring Design Charrette Coordinatot, "GRADIENTS," 20L3. FlU, College, Leadership Role in securing gift of 5 autographed copies of Steven Holl Monographs for winning students, 2013. FlU, School of Architecture, Lecture and Exhibition Committee Member, 2013. FlU, School of Architecture, Digital Technology Committee Member, 2013. 2012 ASSOCIATE EDITOR, Peer Reviewer for AIA FORWARD issue 212:IDENTITY, the Journal for the National Associates committee of the AlA, 2012. AIA MIAMI EXHIBITION COMMITTEE member, 2012. FlU, School of Architecture, Lecture and Exhibition Committee Member,2012. FlU, School of Architecture, Digital Technology Committee Member, 2012. 339 n(p COO) CJIO) fios { FNo { orHr-Tr'E!;!!g@ HH 1'NoTI o'Tl'rlronrFUmd-lL-e,rFarn(ficn EI {rl]ril RJ* ]\,ih\rF\'@.*il@ t $:.,i" {$rft#tsri i: n g $"a L340 .t \ r?r*L 341 It? IC \ { I r.-'L \ 342 Oscar Llorente 343 THIS PAGE INTENTIONALLY LEFT BLANK 344 - #r-l.lome AdJresse #"* ,^/IAMiBTACH BOAF D A f'J D DOMMITTEI A PFi-lC /4Tl O i'l ] r-r i-1 l1ri lvliddle lniilal Occupation r?i gFffi :nF#-" TB,ttsl Proies$ioflal License (descrlbe) .Expires:'E,ilE eii'a Pur*uant to Clty Code seslion 3-22(i[)a & b: Members of agencies, boar"ds enC comrn]ttagg shall be afiilioted with the City. This rEquirerfient shatl be fuifiiled in the rollovrirg ways: a. An indiyidual shall hsve been a resident of the City for* minimurn of six months: or b, An individual shal! demonstrata c,lvnershiplinterest for a rninimurn of six monthe in a br.rsiness estebiished in the City for a minimurn of six monthsr Eesicjent of MiarniBeach for a rnii'rimum of six (6) months: Ves flr Ho ffir Dernonstratee ownarshiplinterest in a business in MjamiBeach for a minimurn of Eix monthe: Yot ffi No if r Are ycu a ragistererJ voter in lrliami Beach: Y+e flr nf o Er I arfl ncw a residsnt of: Ncith Be*ch f,Ssopur B+ach EhqiUat* Beech tr I *m appiying for an appointmett betause I have abilities, irnowledge and experience. Pleasa r A.r"e you presently a regist*red labbyist witr the Cityof luliami Beachr Ycg ff o, f*n EEl Ftea*e ll# your preferences in ors€r of ranking [{l first choice [2t second choice, and [3] ftird choice PhqtS-notelh.fllo.nlylhrec,3l ehgreat wil Peit(g 6nd Recr*aton Facilities Eca.'ci @ i Trsnspcrtatign, * Board m*rnberu are naquired to flle For,n 1 - "Staternent of Flnancbl lntersf'with lhe Siats.. ff you seek appointment tc a profpseional seat (r.9., lawyer, architecl ete.) on the Borrd of Adjustment Deslgn R*vierv*Bcard, Historlc Pre*rvation B*ard or Planning Board, attach e cspy of !roL$ cunently+fa:tively llssnge, =nd frrmlrh the followlng lnfornrUon: Iype ol Profesdonal Llcansa Llc€hsa Lisensc ltsmnce Date Licente Expiretion 0et* H$flbet l-lGstth Advi g0.y Co:'nmitee C'|UE0.$1CLEiqQucFfl pogltrp\Fc AFPIIGAI';O1'1 6.1,6i Page 1 of4 =j 345 i Ec Note: llanplyirg lor,,he Youth Centni Fositlons of the ParkE and Recteatjons ihe Saott Rakoyr Yor:ih Center andlorthc No,ih Shore Parks Youth Centcr.: itiee Board, please indicate your afiiietlon wiih r FISase d6scribe your parl $ervifie urit,lilira CiVe Youtlr CentEr$ (include dalee of serrrice) Cl'iid's nane: Child's name: . Fresent partbipation in YoLth Centor 6riivitles by yoe r children: Yco fJ ruo fl lf yee., pltese I t1 below the nar:res of your childr*n, th€lr ag€s and the programs ln whidh they partieipats: ,dge:--Ptrgram: Age:-_----Prcgrsffi: i Do you currentiy have a'uinlatbn{s) of Ciry of l,Iiarni Beach Code? Yes EI or Hm if yes, pleaes explain in rletailr r Oo you currefltly ovie the CiV sl Miarui t$each any nroney? ye* fl oi no ffi lf yee, explain in dgtail: r Are you currently Lqeryin,, $n eny Cifr Bc,ard or Committee? yes ff gn ilo ffi lf yes, whiclr hoatd/csmrnites? o ln what orgarriaaiion(u) irr the City of Miarri Beach do yeu curenily hold nernkrship? ffiilE_$Ale$!*r- Nama Position r Lict all ptGp8fiiErs swred or ln whicr', y9u ha/e efl inur*t within the City of Miami Beaeh:$or{€ . Are you now emplcyed ty rha 6rty ef lvlisfii Beach? ye: [] a, Xoffi lVlricl'r de5artnreni end tille? -_.'-*-_- r Fursuant to Cig code secton 2.25 (b)igc ycL lg/.e a parent ff, "porr* f], child fJ rrotl* I]J o. sister fl who ;s e,rnplcyed by the Ciiy of tv'iiarni Beuch? Yee Uor po LS lf '\/es.'' identify per+m(s) erud departme nt{t): Th€ fsllowing information is voluntary and is nelther psft of your application flor has rny bcaring cn y*ur csftsldehtion for upBoinhlf nt. lt ir buing askcd to +omply with City diversity reportlng requirements. Gqnder: Mtl+ $11 Fernale l-*l RardEthnic Categories ftlh.al i* your racc?'g;J Rt i*n-ornerkxr[Eiack =J Caucar;ail/v/hite =J esi.n e," Paciilc lslanceriJ Nativ*Afneritan/Arner;carr :ncl ien C:\Ueere\CLtRCunR\Oas(iop\BC A.sFl-lcAl rOl{,docr Paga 2 of4 346 [-J om"r- Prlnt Rfice: Do you considee your*elf to be $panieh, Hitpanio or LaUnoia? Ma* the nJVs" box rTnot Spanlsft Hrspaniq Lalcno€., Do you consldcr yor.rnrelf Physicaliy SisaBled? EI ruoff v"u l{OtE: lF APPOINIED, YOU vyllL BE REQUIRED TO FOLLOW CERTIUN LAWS THAT APPLYTO CITY BOARDICOMMITTEE MEMBEFTS. TI'IESE I.AWB IT{$LUDE, BUT ARE NCIT UMITED TO:c Prphibition frortt directty cir inc#reclly lenbying Crty por*onncl (Mlemi Bsaci City Code gection 2459).c Prchibilion flom contactir6 rvith the Gity (MianrtDade Counly Code sectlon 2-.l1.1),o Prohlblthn frorn loblying,behre the hoardicofirmittee yo: have served on for pedod of ons yeer efter leaving oflfrce (Miami tseach City Code ssc'tion 2-36).o Roquhernsnt tc disclote ce,*,ain linaneial irrterests and gifts (Miami-Dade County Code secllon 2-11.1),a CMB Comrnunity Development AdvBsry Committee: prohibition, during tenure and lor on€ y6ar after leavirg office, {rom having eny interesi ln or receivlng ary beneft frcm Community Development Block Grant funde for either yourseif, or tha+e witir v/nonlyou have business or immerli*.te lamily ties (CFR 570,611).o Sunshine Law - Florida's Gouernmentin-ttr+Sunshine Law was enac{ed in 19e7, Today, ihe Sunehine Law regarding c.pengo\rernffiefit can be found in $lrqtrtr$-?Ae of tne Florida Statutes. These slaMes establish e bagc r'ghl of acc€E$ to mo$ rneetings of bodrd$, csnmlssions and other governing bod'*:s of sbte and local govenmental ageneies or authorities,c Votin-o c$nflict - Form 88 ls fcr use b'y anlr persort sorving at the eounty, city sr other lotal level of government on an appointed or' elecled bcard, coun+ii, cornn:iseion, a,l!hor',ty or ccrnmittee. !l applias equally to members of adrisory and non-advlsory bodieswho pre presented *ith a voting conflict of interest untler Section 112.3149, Flride Statutes. Upon request copiss of thst+ lawt mey lrc obtalned from the Clty Clerk, I HEREBY ATTEST TO THE A{:SUR.A#Y AND TRUYHFULNESS OF THE APPLICATIOH; AN0 I HAVE HEGEIVED, READ AND..JYILL ABIDE 8Y C}IAPTER 2. ARTICLE VII. OF THE MIAMI BEACH CITY CODE ENTITLED 'STANDARDS OF CONOUCT FCIR CITY OFF|CERS, EHPLOYEES AI.IB AGENCY IJTETIBERS AND ALL O.I,HER APPLICABLE GOUI'ITY AND,,OR STATE LAVUS AND Rece;vsd in the Office of the Cily Cte* by: Name of Dcputy Clerk Em No v.'es Contrcl No. AND A OatE GOPY OT A}IYATTACH A CURRENT RESUME, PHOTOGRAPH APPLICABLE PROFE$SICINAL LICENSE. ATTACH ADOITIOHAL $hIEET.S, IF NECE$$ARY, TO PRCVIDH RESUIRED IHFORMATION. C;\,J$or's\CLE RQ uaBl0.iitop\gC APF L lCAl ioN. socx Page 3 of4 347 ^AIAMIBEACHCity of Mionri Eeqch I z'OO Conveniion Cantsr Driva, Miami Baoch, Fiorido 331 39, wrs,,r mlnnibaochfl gog OFTICE QF THE CT,fY CLERK C ityClerk@rn I am i beochfl . gov Telephone: 305.673,741'l Fox: 305.673.7254 Acknourledgernent of fineskusp€nsion filr BoediGommittee lf,embers for failure to connply with Mierni- Ded+ County Financial Disclosllre Coda Provision Gode Section 2-11.1(i) {2} Boerd ltlemhels Name I understand that no later than Julv {. 6f each ygar-all rnernbers of Boards and Comrnittws of the Ciiy of Miami Beach, including thote of e purely advisory nature, are required to comply with tvliami-Dade County Financral Disclcsure Requirernents, This means that the members of City Advisory Boards, whese sole orprirnary responsibilig is lo recommand legislation or give advica to fis City Commission, musl file even though they rnay have been recently appointed, Qge-of ihe following forms musl-trqfileLwith the City ClerK of Miami Beech, 1700 Convention Center Drive, Miami Beech, Floride, no later than 12:00 noon of July I, of each year. 1, A "Source of lncome Staternent' 2 A "$tatement of Fina*cist lnterests (Form 1)" 3. A Copy of your latesi Federal lncome Tax Return Failurc io file one of these forms, puttuant to he Mianri-Dade County Code, may subist the perecn m a fine of no more lhan $500, 60 days in jailor both. fr Jpdat€d: -rhurBdry, Detember 22, 2018 { CliJrsi!\CLEE0u0Pi0B6!rt0p'8e APFL'CA*lOil.&N{ Page 4 of4 348 OSCAR LLORENTE 7525 t, Yrca&ure Dr. # 2A?, North Bay Village, FL 331410 (954) 296-3951 o tonceptogcar(d'{ahss,cqnt PROFILE Dynamic business professional in the r"nedicelfield several yeare o{ experience in publit relatigns, netrrrrorkifiE, special everrts management, rnarketing and creating brand avy3reness. rnnovativ€ and resourceful with a keen sEr* 0f jrrdgment and rrotlvetion. $ffong in customer rervice with an €xceptional ability to communicate in both Engli:h and Spanish, Technicaily proficient, reative visionary wellorganized wlth an eye for detaii- Sl(,LLs Excellent Mtnagement Capability Fracticed Public Speaker & lnterpersonal Communicatior Exceptio nal Custorn er $ervice Sori+l Me dia, Word, Excel, Outlook, KRONOS, Salesfon:e, Constant Contaet Profound Tirne Managemcnt, Organization & Prioritization Adaptable io Fast-paced & Evolving Work Environment StrofiB Problem-Solving Ability Coupled With Creati'/ity & Resourcefulness Experienced in Developirg Custom Cui'rituia Highly Responsible &. Dependable EXPERISNCH COMMUNTry RELATIOiIS AND OUTREACH MANAGIR N ETWORX'NS AIIO 6U$NE$$ OEVILOPMENT LlerJnt Sjrla:-f4edical Ce Feb. 99 to Present o OrEanize and supervise health related (ourses, lectures, health sueenirg and sutr€ach protrims an average of 40 a rnontho ln{rease ccmmunity awareness through networking and c0mrnunity relationsr Prnvide ltedership, m6naBe afid mentor. Established personalized concierge programr Favelcped profes$ional reiationships with busine rs nwners, local nfficials, physicians, nursing home aclministrators, pol;6e tnd fire rescue administratione p6rt;6ip11ted in local senior affairs agencies ond aCvocacy groilpsr Hngured the lrcspita! brand narne through health related prssrarl$c Froduce marketing resource collateral materisls and promotional iternsr Oversee Mount Sinai's Community Activities Reflecting Ernployee tervice-emplcyee volunteersr MBndge monthly employees voh,nteer activitles such ag Farrn Shares, Senior holiCey food dri'le, back to school supply give a w*ys, feeding the horneless* Established data marketing $urveys, photographs, repcrts anel presentutionso lnternational liaison linking physicians, insurance companies end patients.r (okl call cn primary care physicians, nursing homes, senior living comnnurritiet, schools, churrhes, syntsgggues and residences.r Arranged nredical procedures and physicion appcintments for international anu VIP patients.r Negotiated Eontracts with area hotels, locai transportation and rir/lar,d arnhulance.r Establisl'ted and conducied customer ser,-ice training proEranis.r Prepared organized, analyaed and reported suru€ys and rnarketing etforts.r Work in conjunction with, trustecl by and report to a Senior V.P. and adininistratlon.o CrEanized and analyzed reports, employee expenses, and maintaineC budgetsi l,-{aintain;ed confidential records and reports 349 I NsU RANCE CIAIMS SPECIALIST .Egle n & {fl o i a-r.!d.lF i r sI R e co ve rv I nc J t .-La u-d-e r:0 a I t Jan, 1992 to Feb. 19.o9 1S84 . Maneged over 600 rccounts in the billing and callection processr Provided custornflr seruice and collection edivities for multiple hespitals and clinicsr Analvzed various activilies and interections with inlurance companies m determine rncst appnoprlate and recov€ry action service needede Maintalned knowledge of various resources and programs in resolving an accounti 'icp Claims Recovery Specialist far 7997 and 1998. lnitiBier, and proceis health insurance claims appeels R E(OG IrllTlOHs Co nt ributio ns to E ldt r l,iea lt hcare lssue g Awarded Outstandirg Proposalr for Better Customer Service lritiatives and iraining Recngnizeci Fcr lmplemeilt3lion of Cost Saving Measures Dssigrate d Employee Ac!ivities Coordinator Mayor's Avrard for Community !nvolvernent in Hallandalc Beath Outstrr'rdrng I.2 tfeek Nutritionai Educational ProBrort by Hallandale Beach Police Recognieed by l\{iami"il*de i'rlayor Jimanez for outstanciing cornrnunity serv'ite CEUCATION South tlJest Senior High School, Miami, FL \4inmi Dade Community College, Miami, FL Fraternity Mernber of TKE Tau Kappa Epsilorr Seddieb6ck Col!ege, Mission Viejo, CA VOTUilTEfR & CIVIC Vlce Charmain Art and Culture Center, Hollywocd Present Vicr President North Mia,'ni Beach Chamber of Cornrnerce Preitnt Board of Director North MiamiChamber of Commerce Pre5ent Chairnran Hallandale Seach Cornmunity Partnersf ip Grant Reviewer 2011-17 President Hallandale Beach Chamber of Cornmerce Z0Xl Board of Director Aventura/Sunny lsles Beach Charnbar of Cornrnerce 2Ci1t Board sf Dire*CIr and Program Charr Miami-Dade Coalitron on Aging 2011 Chair'man f{ullandale Beach Mayor's Green Leadership Comrnittee 2010 TANGUAGIS Fltient in Spanish, speak and writing HOEBiES & ll{TERESTE Arti, fravel, Cooking, Yoga, Cycling, Comrnunity Volunteerisrn, Social Netwcr*ing 350 Oscar Uorente began his career at Mount Einai Medical Center in iggg. He is currentlir the Communih- Relations Liaison for Mount Sinai Medical Center and l{ount Sinai Aventura. Ossar's responsibilities include program deveiopment and Dranagernent of outreach eorrporents* netrvorking with fiverse organizations, build and cultiriate reiationshipswith civic leaders, and strengthen awareness in the community. He coordinates open health and rvellness programs that offer medical seminars, health screening, and access to healrh care and other professionals in the community, Of particular note, Oscar has develcped a real pr$ence in the communily and r,t ith his keen 6ense of style in aoro he '*ras designated one of Broward County's Men of $t1'le. Finally, Oscar tras participated in nurnerous comrnunity foundations aod charities to assist in furthering their prograrns and has presented at schools and agencies on the topic of heaith and rrrellness. In his earll,years, Oscar has worked in the South Florida hospitality industryrvherc he rvas broadly trained in g;ood customer sen'ice practices and communication. He has eonCucted custourer sen'ice training for retailers and hoteJs. Afte:'studying in Caiifornia ar:d in ltab', Oecar returned to south Florida r+'here he worked at one. of Brownrd Counffs largest collections law firrn appealing hospital medieal claiins. Oscar has r-olunteered at the historical museum in Miami,I,tiami Area Geriatric Education C.ent*r, at the Hallandale Beach Hepburn Center and at Center One AIDS Resource Center r,r&ere he delivered meais, prol'ided home repair assistance antl alivays offered care and conrpanionshiii to neeciy inditiduals suffering trrith AIDS. He is active in a variety of civic and cultural organieations including the Art a.rd Culture Center of liollinvood, IvIiam.i Dade Coalition on Aging and local area chambers of cornrrerce. Outside interests, he travels widely, enjop Performance Theater, he is a colleetor of art, takes pleasure in fine dining and wines, and enjoys living in Hallandale Beac.h. Current Bcards and Comrnuniqv Actir,'ities Vice Chair of the Art ancl Cullure Ceuter of Flolly,r,ood a eontemporaly gailery with exhibitions, live st:age performanres and high-quality education prograrrs fcr adrrlts arrd children. The Center fosters a creative environment u,here riew and chailenging lvork can fluurish tlrrough programs that refleet the highest standards of afiistry and diversity. The Center is non-profit organization supported in Fafi br-n:embers, privat*- entities, the Citf'of i{o1ly'r,tood. Broward County Eoard of Commissioners, the State of Florida, and ihe Florida Council on Arts and Culture. Hallandale Beach Area Chamber of Commerce Present-Exeeutir,e Boarcl of Director, President zotr North Miarni Beaci: Chamber of Commerce Present-Board of Directur Aventura Sunny Isle Beach Charnber of Comrnerce Past-Board of Director $Iiami Dnrle Coalition of Aging Prograrn Chair 351 *suHtE=*E}3.8=;dHilE EsXc')!l'!.*c':r-giHSiHcrfrs$E# rFiS$ E d= EH asifrtqtif; gE 1;Bigli,= siili :8fi1,?E BilrqilE'3€ a I,i { tt { F tII, ( r,n ft(t {!3en{ &l*({s#a oE_3=3Eg?f(E t igE e g 5 E. Ir.rr'{ L)c] C { Or (, g: =r$;l*'EF*'EHqg*8**-E'l=i1o,6d:il:3-:BIfin'oil'*+"iEui'sAriia8E,'$€E ef sdrL"-H.odF:{g5dErJ n G ''{ -''(n-'.-{;g=-sErF.- g,H *ca*={'€fis=+E+H.EEaeO Y al (D G --'.i * q !r E IL!,et0og, E. -0)iQo cl,F 3E#!€=##H.f*s=#r-filgg;iHe. r$E*<?H. O =rlfr :$ f a ; E g = dg"H g u $e "9 E: 8 F fl E 4E=Q'a,=-E 6i=e: E; e laera';tsr sriiletEs rEE Bt l*[eE *sEBf,E;E;,Is f ;'n;*i= (l q +Z:=.n-)J -' = -: ; 'xfiil HifrSsrH$i+$iEr" Hil[gfire+{ B*Hfr* EO EI ID 3I t$rt}ont> fi}?#EtrtilFT{s,b =m frDE*FEg,ms oC{,CTs, -rtHrilsrl(Drtild,f,rIDu3t fD5E4(Drt IETt€ stEEda €T'orrG}EJ Idnrtflirdd6rrfiLtDs,ryrddgrhnrQEl trI'T =JTIslffiFlT BlE aaEEog glatrg lq, ouI6F Bt oEto 'G.B$tIDc,'. h y L.- 352 1!ItcG(,b d/!ce3ie(} }Jclrc:$ a $e06o ?E i5 (n (f) o $4t o4t @ FDq '()o3 aas,:( s, tr)q, J\ll']o troaorrd,*o "na t$rtrlo F. gaE[;Egli [;ii[:EiBg[gig lggfiiE*iE g;g r il [aiig -giggg [g [ r*g lg,Il ii r ggIIgilffi*Er rA(D3 it=J53-(D=0'9i E-6 d * O e4 0 < gCFfgisFfrE7,g9r $rigfirrg;HsH ss# Ig tlr:Esil gffi [EiEEig ;EigEffi ffifiiEEFfliE*i $B iiE,i* [ffiiii l$ ['i i*Eg $ii $Fi 353 * ,t Tt;i:1fiIB &IrLIi... .F.:: ;11 ,r 1-nrI I ',t:. ""+ * d.:Ili -r IlJIrf 5 iIII t3 r4 ,!354 Enilda F. Thomas 355 THIS PAGE INTENTIONALLY LEFT BLANK 356 BOARD AND COMMITTEE APPLICATION FORM Business Address Zip Code Pofesslonal Llcense (descdbe): xpires:.., Please list your preferences in order of ranking [1] first choice [2] second choice, and [3] third ctroice. Ele6S-petflhat City Punsuant to Clty Code cectlon 2-22pla & b: Members of agencies, boards and commlttees shall be afftliated with tha City. This requirement shall be fulfilled in the following ways: a. An individual shall have been a resident of the City for a mlnimum of six months; or b. An individual shall dsmonstrate ownership/interest for a minimum of six months in a business established in the Cityfor a minimum of six months o Resident of Miani Beach for a minimum of six (6) months: yeg Fr no El o Demonstrates ownership/interest in a business irLlt{ami Beach for a minimum of six months: Ycs r Are you a registered voter in MiamiBeach: Yes Ebr No trl . , o lam nowa residentof: North Beach ESoutr Beach Enaale B€ach EI f] ro fl o I am applying for an appointnent because I have special abllities, knowledge and experience. Pleage llct bclow: o Are you presently a registered lobbyist wlth the City of Miami Beach? Yes E o, N"}( Alturdauel.lou8lmAdvlsoryCommltte€ zu l'lealth Advlsory Committee Pa*s and RccraaUon Facllltles Board € Art ln Publlc Place8 Commlttee Heelth Fadll0e3 Authoritv Eoard Pe'sonnd Board Ardlt@mmltte€Hlsoenlc AIearB Commlt€e Plannlm Boad'Ir Board of Adlu8tment'R HlBtorlcPr€seneuon Board E Police Clllzens R€latlons Commlfts6 EuftstAdvhorv commm€€Houslnq Authorltv (-, )Proctrjcfi on lndustil Coundl commltloe on th€ Hornoless Human Fllohts gommmeo slEter cruo8 Prooram commmse rcr Quallty Educathn ln MB LGBTAdvlsoryCommmgs SustilnebmtvCommmee Convenuon CenterAdvbory Boatd [,rraElDrqwrrr retu,rur q cEllggru€uFacfitbc Comrdtiee CulturalArts Coundl Mhml Beach Commlgslon forWomen Vldior and Convenuon Arthodtv DeslgnRevi€w Boardrr I,lomlndy Shor€s Local Govemment l.,lelohborhood I mpowment Youthcommlsgorl Dlsabllty Acc€ss Commlttee Ad Hoc Anu-BullylrE Task Fo.ca Mlamt Beach Hall of Fame SelecUon CommltteeMrmrro ,.lr StEAt n.Arl H6a Srtrall EU EIaacG _faak F6lB r?Afiairll emmllmt Board nrmbers are raquircd to tite Form I - "statement of Financlal lnbrclt' with the Stab.. lf you acak appointncnt to a proforlonal rcat (e.9., lawlnr, archltec( etc.) on the Board of Adjustment Dcslgn Revlew*Boad, Hldorlc Prorerydon Board or Plannlng Board, attach a copy of your currenUyefEcdvely llcense, and fumllh thefollowlng lnforma0on: Typc ofProfierslonal Ucanre lcsnEo Llccnge luuancc Expln0on Dato Number CtUrsf!\CLEROurRlDo.ktop\BC APPLICATDN,(bCx Page 1 of4 357 6 Note: lf appllrB for the Youth Genter posllions of the Parks and Recreatlons Fadlltles Board, please indicate your affillation with the Scott RakowYouth Center and/or thE North Shore Parks Youth Center: o Please describe your past service wilh ihe City's Youth Centers (indude dates of seMce): . Present participaton in Youth Center acffvltes by your ohlldren: Yes El f.fo E lf yes, please llst belqr the names of your children, their ages and lhe programs ln whldr they partidpale: r Have you wer been convicied of a felony? Ycr lf yes, please explain in detail: o Do you currcntly have a violation(s) of Clty of Miaml Beach Code? Ver El o, Xffff yo, pleasE orplain in detail: o Do you cunenty owe the City of Mlaml Beach any money? Yer f,l o, fo X I yes, erglain in detall: . Are you currcntly servlng on any Clty Boad or Commltlee? yer El or XoEI I yes, whlch boad/commlttee? . ln u,hat organization(s) in the Clty of Miami Beach & you cunently hold membership? Name Position o Llst all propertles orvned or in whloh you have an intereat wlthin the City of Mlaml Baach: r Are you now empbyed by the City of Miaml Beacft? Yes fl e1 Whlch departnenl and fitle? o Purruant to clty Code Secdon 2-25 (b): Do you havg e parent E, spouse f], child E U.t"r E o, sister ff , ,ho is enrplopd by the City of Mhmi Beach? Ycr For Not 4lf 'Yes,' identify person(s) and department(s): The followlng lnforma0on lr votuntary and ls nelthar part of your appllcatlon nor has any bearlng on )lour conslderatlon forappolntmcnt hlr belng arkedto eomplywltr Cltydlverrltyrcportlng requlrcrnntr. Gender: Male RacelEthnlc Gatogorbs What le vqrr race?E mro**erican Black CaucaehnMrhlteE erfin or Paclfic lslanderf] ruawe-Rmerican/Amedcan lndian Page2 ol 4Cruleo\CtEROtl3RlD€rklel8c APPUCATION,&CI 358 fl no{v"" Do you conslder yoursalf PhyrlcallyDlrabled? ,8,,"E NOTE: lF APPOINTED, YOU WILL BE REOUIRED TO FOLLOW CERTAIN LAWS THAT APPLY TO CITY BoARDrcoilItllTTEE ilIEMBERS. THESE LAWS INCLUDE, BUT ARE NOT LIMITED TO: o Prohlbitlon ftom dlrecdy or indlrectly tobbylng Clg personnel(Miaml Beach City Code sectlon 2-459).o Prohitition fmm contradlng wlth the Clty (Mlaml-Dade County Code sectlon 2-11.11.o PmhiHtion from lobbying befure the boardlcommittee you have served on for period of one year after leaving office (Miaml Beach Clty Code secton2-26).o Requirement to disclose certain ffnancial interests and gifts (Miami-Dade Coung Code section 2-'l 1 .1).o CMB Community Development Advlsory Commlttee: prohlbltion, durlng tenure and for one ysar after leaving office, tom havlng any lntcest in or receiving any benefit from Community Development Bbck Grant funds for either lourself, or lhose with whom you have buslness or lmmedlate famlly ties (CFR 570.61 1).o Sunehine Laur - Flodda's Gov€mmont-ln-theSunshine Law was enacled in 195-/. Today, the Sunshine Law regarding opengpv€rnment can be found ln Ghaoter 286 d the Fbrlda Statutes. These statutes estrablish a basic right of acc$s to most meetings of boards, commissions and othergoveming bodies of state and local govemmental agencles or authorities.o Voting conflict - Form 88 is for use by any person serving at the county, city or other local le\rel of gonemment on an appointed orelected board, coundl, commisslon, authority or committee. lt applles equally to mernbers of advisory and non-advbory bodies who are presented wlth a voting confllct of interest under Section 112.3143, Florida Siatutes. Upon requert, coplcr of thc:e lawe meybe obtalned from ihe CltyClerk. S o*r- Prrnt Race: Do you conslder yourself to be Spanlsh, Hlspanb or Latinola? Mark the "No" box lt not Spanlsi, Hlspenlc, Lefrnda.-.-- ! HEREBY ATTEST TO THE ACCURACY AND TRUTHFULNESS OF THE APPLIGATION; AND I HAVE RECEIVED, READ AND WILL ABIDE BY CHAPTER 2, ARTICLE VII, OF THE MIAi,lI BEACH CIW CODE, ENTITLED "STANDARDS OF CONDUCT FOR C]TY OFFICERS, ETPLOYEES AND AGENCY iIEMBERS AND ALL OTHER IPPLICAELE COUNTY AND'OR STATE LAWS AND STATUTES ACCORDINGLY." Recelved ln thE Ofiice of the City Clerk by: Name of Deputy Clek ControlNo.Date A COPY OF ANYATTAGH A CURRENT RESUME, PHOTOGRAPH AND APPLICABLE PROFESSIONAL LICENSE. ATTACH ADDITIONAL SHEETS, IF NECESSARY, TO PROVIDE REQUIRED INFORMATION. CIU!6!\Cl,EROu.RrD6kl0plSC APPLlCATlON.docr Page 3 of 4 359 ;,* NCHM l:",ifixil:^ff:r:fi, Thomas, Enildacos License No.00141783 Licensed Since: 05/13/2009 Expires: 05/13/2019 'Si", 360 3600 Collins Aw. apt 1106 Phone (305) 93/$-7433 Miami Beacrr - FL - 33140 E-mail enildet@gmail.crn EhildaF.Ircnrc Employments 03/08 - Present 09106-o3lo8 EHDOC - Council Towers Apartments Miami Beach, FL Administrative Assistant I ! Elite Learning Center Office Administrator MiamiBeach, FL OUOL - t2l13 Carol's Educare Child Care Center Queens, NY Bookkeeper / Administrative Assista nt 1995 - 2001 TIEP - Thomas lnt'l Educatlon Programs Rlo de Janelro, Brazil Partner 1995 ANELO Rio de Janeiro, Brazil Administrative Consultant 1963 - 1994 IBM Brasil Ltda. Rio de Janeiro, Brazil Human Resources Analyst Executive Secretary to the President Sr. Adm. Secretary to the Director of Finance Rio de Janeiro, Brazil Education L970 - 1974 College of lnternational Relation of Guanabara Rio de Janeiro, Brazil Degree: Completion of the Course of lnt'l Relations Other Courses / Workshops7212002-06/2003 Attended several courses from the New York, NY NYC Department of Public Health O7(2OO2 York College Queens, NY I ntroduction to Bookkeeping Volunteer Exoerience2OO2-2003 New York Congregational Nursing Center Brooklyn, NY Member of "CAN" Caregiver Advisory Network languages English (read, write, speak) Portuguese (native) Spanish (read, speak) 361 jII 362 Sixto A. Acea 363 THIS PAGE INTENTIONALLY LEFT BLANK 364 (9 MIAMIBEACH NAME: Acea CITY OF MIAMIBEACH BOARD AND COMMITTEE APPLICATION FORM Slxto A Last Name HOME ADDRESS: 1750 James Ave. Apt. 48 First Name Miami Beach FL Middle lnitial 33139 PHONE: Apt No. Home No./Street 305.53E.565E City State Zip Code aceaantonio@yahoo.com Home Business Name: EHDoC- Councll Towerc posi1on: SeMce Coordlnator Work Email Address Address: lO4{t Gollins Avenue Miami Beach FL 33139 Straet State Zip Code Pursuant to Clty Gode sectlon 2-22141a and b: Members of agencies, boards, and committees shall be affiliated with the city; this requirement shall be fulfilled in the following ways: a) an individual shall have been a resident of the city for a minimum of six months; or b) an individual shall demonstrate oarnership/interest for a minimum of six months in a business established in the city. o Resident of Miami Beach for a minimum of six (6) months Yes o Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: Yes o Are you a registEred voter in Miami Beach: Yes o (Please circle one); I am now a resident of: South Beach e I am applying for an appointment because I have special abilities, knowledge and experience. Please list below: I am a trlllngual Engllsh, Spanlsh and Russlan professlonal who has been worklng wlth Ssnlorc serulng Low lncome Houslng f o Are you presently a registered lobbyist with the City of Miami Beach? No Please list your preferences in order of ranking [1] first choice [2] second choice, and [3] third choice. Please note that only thme (3) choices wlll be observed by the Clty Clcrk's Offlcc. (Regular Boards of City) Choice 1: Affordable Housing Advisory Committee Choice 2: Hispanic Affairs Committee Ghoice 3: Health Advisory Committee * Board members are requlred to file Form 1 - "statement of Flnancial lnterest" with the State. lf you seek appointment to a professiona! seat (e.9., lawyer, architect, etc.) on the Board of Adjustment, Design ReviewBoard, Historic Preservation Board or Planning Board, attach a copy of your currently-effectfuely license, and fumlsh ihefollowlng lnformatlon; Type of Professional License City License lssuance Date License Number License Expiration Date Note: lf applying for Youth Advisory Board, please indicate your affiliation with the Scott Rakow Youth Center: 1. Past service on the Youth Center Advisory Board: 1s years of Service: 2. Prosent participation in Youth Center actlvltios by your children No if yes, pleaso list the names of your children, their ages, and which programE. List below: 365 . Have you ever been convicted of a felony: No lf yes, please explain in detail: r Do you currently have a violation(s) of City of Miami Beach codes: No lf yes, please oxplain in detrail: r Do you currently owe the City of Miami Beach any money: No lf yes, please explain in detail: . Are you cunently serving on any City Boards or Committees: No lf yes, which board? o What organizations in the City of Miami Beach do you currently hold membership in? o I am now employed by the city of Miami Beach: No Which department? o List all properties owned or have an interest in, whictr are located within the City of Miami Beach: Gender: Male The lollowlng lnformation lc voluntary and Is nelthcr part of your appllcetlon nor her any bearlng on your conrlderatlon for appointmcnt. lt isbelng aekcd to comply wlth federal equal opportunlty reportlng rcqulrementr. Race/Ethnic Categories What ls your race? Mark one or more races to indicate what you consider yourself to be. White Other Description: Are you Spanish/Hispanic/ Latino? Mark the'No' box if not Spanish / Hispanic / Latino. Yes PhysicallyChallenged: No NOTE: lf appolntod, you wlll be requlred to follow ceftaln lawr whlch apply to clty boerd/commlttee members.Therc lavs lncludc, but arc not llmlted to, tftc followlng: o Pohibition ftorn directly or indirecdy lobbying city personnel (Miami Beach City Code section 2.459).o Prohlbltlon fiorn contractlng wlth the dty (Mlami-Dade County Cod€ sectlon 2-11.1).o Prohlbition from lobbying before board/committee you have served on for period of one year after leaving offce (Miaml Beach Code section 2-26).o Requirement lo disclose certain financial interesB and gifts (Miami-Dade County Code section 2-11.1'). (re: CMB Community Development Advirory Committee): prohibition, during tenure and for one year afier leaving offico, from having any interest in or receiving any benefit from Community Development Block Grant funds for either yourself, or those with whom you have business or immediaie family ties (CFR 570.611 ). Upon request, coples of theee laws may be obtalned from the Cfi Glerft. "l horoby att$t to the accuracy and truthfulne$ of tho appllcation and have recelved, read and wlll ablde by Chaptor 2, ArtlcloVll - of the Clty Code "Standard3 of Conduct for Clty Offlcerr, Employees and Agency Memberr." I Sixto Acea agreed to the following termc on121412017 1:3E:40 PM Received in the City Clerk's Offce by: Name of Deputy Clerk Control No.Date 366 1750 James Ave apt 3J, Mlaml Beach, Florida 33139 Mobile: 786.210.9559 E-mail: aceaantonio@yahoo.com Resume for Sixto Antonio Acea Obiective: Experienced and Trilingual (English, Spanish and Russian) Business Manager with Case Manger background looking to serve as a volunteer for a Miami Beach Board and Committee that will allow making use my 12 years of experience working with Low Income Seniors receiving affordable housing, Medicare and Medicaid Professional Exnerience: 02l2OO4- Present Elderly Housing Development & Opert Corp, Miami Beach, Floride Service Coordinator Assist in the daily property operations and management of a 250 apartment community. Experience working with people experiencing crisis, people who are socially isolated, elderly and disables; providing the needed support to link them with the services and programs they need to remain independently and active in the community. Identiff and assess individual and family needs, to assist them to apply to all available programs, offered by Housing Departrnent (HUD), Social Security, Family and children Department, Medicare, Medicaid, Long Term Care, MMA, Medicaid Share Cost, Medicaid Waiver, QMB, Cash assistance, Meals on Wheels, Life Line Assistance, and others local nonprofit organizations. Experience with Hospital and Rehabilitation Centers Discharge Plannllg and Procedures, and Home Health Care Services. Provide general service management including benefits entitlement and insurance assessments, conflict resolution, crisis intervention, counseling, family support, health care services, monitoring senrices and case management. Community Access Partner of Florida Department of children and Families 2015- Present . South Florida Seniors in Actions Inc. Director 2013- Present Miami New Realty. Provide Services, food distribution, and lectures to the Miami Beach senior community, visiting their centers and bringing needed services to them. Miami Beach, Florida Licensed Sale Associate (Realtor). Part Time Miami, Florida 367 Market residential properties ensuring timely and profitable sales or rent Prepare contracts, purchase agreements, closing statements, deeds, and leases Provide property management assisting owners renting their properties in South Florida Provide absentee homeowner management for owner living outside South Florida 2015- Present CareFree Insurance Servicesr lnc Miami, Florida Licensed Health, Live and AnnuityAgent. Broker, Part Time Educate Senior about all Medicare, HMO, PPO and Prescription Drugs Plans available for them in the area Assessment and enrollment in a Plan that meet their needs 08/2000 - 0212004 Restaurant "La Taberna de lgnacio" Miami, Florida Assistant Manoger Managed restaurant operational and business functions, while maintaining profitability and the highest level of customer service. Contol of inventories, and planning of supplies 05/1998 -0712000 Ingeval S.A. Santiago de Chile, Chile S oftware Implementation Specialist Implementation of the Business Operation Computer Software "McGestor" developed by Ingeval S.A. which included Accounting, Inventory and Human Recourses modules. Responsible for custom software design and user interfaces (UI). Adapt Customer Specification, Reports, and Documentations to McGestor Software. Conduct End-User staff and management training to ensure a smooth installation process and minimizing post-installation support. Provide quality assurance, tests, and documentation of software enhancements. 0611996-0411998 Refax Chile S.A. Santiago de Chile, Chile Accounting Manager Examining and evaluating all financial records, including accounts payable, accounts receivable, payroll, equipment and inventory records to ensure that the financial system is being run efficiently and economically. Establish policies and procedures in the use of computer-based accounting systems based on the company's policies. Education: 2012 - Recipient of 18 hrs Annual Continuing Education Credit required by US HUD for Service Coordinator for the last 12 years. 2012 - Customers & You: Service Program Certificate, Florida International University- Miami, Florida20tl - Certificate, Oracle Database Administration, Miami Dade College-Miami, Florida 2004 - MAGEC Ethno-Geriatrics Conference: Clinical and Legal Realities of ours Multi- Cultural Aging Communities. University of Miami School of Medicine- Miami, Florida 1994 - Bachelor of Science,Industrial Engineering Universidad Central, Santa Clara, Cuba Languages f,luent in English, Spanish and Russian. 368 References Available Upon Request 369 370 Bernardo Gollado 371 THIS PAGE INTENTIONALLY LEFT BLANK 372 MI rLi3t MIBEACH c oi loatr"SDAND Goirnto:irrEE AppLrcAfloN FoRM €.r n..-* Ae Professional License (describe): Expires: Please list your preferences in order of ranking [] first choice [2] second choice, and [3] third choice. Please note that onlv three (3) choices will be observed bv the Office of the Citv Clerk. Please altach a copy of currently effective professional license. Pursuant to City Code section 2-22(4la & b: Members of agencies, boards and committees shall be affiliated with the City. This requirement shall be fulfilled in the following ways: a. An individual shall have been a resident of the City for a minimum of six months; or b. An individual shall demonstrate ownership/interest for a minimum of six months in a business established in the City for a minimum of six months. o Resident of MiamiBeach fora minimu, ot.ii'toir".iir.,"* E6i*o E o Demonstrates ownership/interest in a business in MlAmi Beach for a minimum of six months: Yes o Are you a registered voter in MiamiBeach:Yes l%r No f] o I am nowa resident of: North Beach f]Souttr Beach Ehtioot" Beach E' ' "," "o''''nn& *r'ro"T:T o?I7' n"'ff!"1i';ol':"a*nrxff:o;f"'.n'" t'""'" "" o"'o*' o Are you presently a registered lobbyist with the City of Miami Beach? Yes f] or" Ho E Mruo E Affordable Housing Advisory Committee Health Advisory Committee Parks and Recreation Facilities Board € Art in Public Places Committee Health Facilities Authority Board Personnel Board Audit Committee Hisoanic Affairs Committee Plannino Board*ti Board of Adiustment5i Histofic Preservation Board ttr Police Citizens Relations Committee Budqet Advisory Committee Housino Authoritv Production lndustrv Council Committee on the Homeless Human Riqhts Committee Sister Cities Proqram Committee for Quality Education inMB LG BT Advisorv Committee Sustainability Committee Convention CenterAdvisory Board Marine & Waterfront Protection Authority Transportation, Parking, & Bicycle-Pedestrian Facilities Committee Cultural Arts Council Miami Beach Commission forWomen Visitor and Convention Authoritv DesignReview Board).(Normandy Shores Local Govemment Neiohborhood lmorovement YouthCommission Disabilitv Access Committee Ad Hoc Anti-Bullvinq Task Force Miami Beach Hall of Fame Selection Committee M:vn/s r'1" Street Cnmmiilee Ad Hnn Smrll Rr rsiness Taqk For.-e aaainr Affrirc a^mmi+laa t--* Board members are required to file Form 1 - "statement of Financial lnteresf'with the State.lf you seek appointment to a professional seat (e.g., lawyer, architect, etc.) on the Board of Adjustment, Design Review*Board, Historic Preservation Board or Planning'Board, attach a copy of your currently-effectively license, and furnish thefollowing information: Tvoe of Professional License License License lssuance Date Expiration Date Number C:\Users\CLERQUeR\Desktop\BC APPLlCAT|ON.docx Page 1 of4 373 6 Note: lf applying for the Youth Center positions of the Parks and Recreations Facilities Board, please indicate your affiliation with the Scott Rakow Youth Center and/or the North Shore Parks Youth Center: o Please describe your past service with the City's Youth Centers (include dates of service): r Present participation in Youth Center activities by your children: yes E ruo E lf yes, please llst below the names of your children, their ages and the programs in which they participate: Child's name: Child's name: Age:_Program: Age:_Program: o Have you ever been convicted of a felony? Yes or No lf yes, please explain in detail o Do you currently owe the City of Miami Beach any money? Yes f--l or No lf yes, explain in detail r Are you currently serving on any City Board or Commlttee? Yes E or No o ln what organization(s) in the City Beach do you currently hold membership? List all properties owned or in which you hav within the City of Miami Beach *rorno*"rp"r"OOr*a*M Which department and title? o Pursuant to City Code Section 2-25 (b): Do you have a parent employed by the City of Miami Beach? Yes f--Ior ruo ff,E, ,por." E, child E brotrer E or. sister E who is lf "Yes," identify person(s) and department(s): appointment. lt is asked to comply with City diversity reporting requirements. Gender: Male Race/Ethnic Gategories What is vour race?E*ti ca n-Rmerica n/B I ack EIcaucasianM/hitefl R.irn or pacific tstanderE ruatire-Rmerican/American I ndian The following information is voluntary and is neither part of your application nor has any bearing on your consideration for ClUsers\CLERQUeR\Desktop\BC APPLICATION.docx Page 2 ot 4 374 Do you consider yourcelf to be Spanish, Hispanic or Latino/a? Mark the "No" box if not Spanish, Hispanic, Latino/a. ErrrrVr"" Do you conilE v". sider yourself Physically Disabled? E ot"r- Print Race: NOTE: !F APPOINTED, YOU WLL BE REQUIRED TO FOLLOW CERTAIN LAWS THAT APPLY TO CITY BOARD/COMMITTEE MEMBERS. THESE LAWS INCLUDE, BUT ARE NOT LIMITED TO: o Prohibition from directly or indirectly lobbying City personnel (Miami Beach City Code section 2459).o Prohibition from contracting with the City (Miami-Dade County Code section 2-11.1).o Prohibition from lobbying before the board/committee you have served on for period of one year after leaving office (Miami BeachCity Code section 2-26).o Requirement to disclose certain financial interests and gifts (Miami-Dade County Code section 2-11.1).o CMB Community Development Advisory Committee: prohibition, during tenure and for one year after leaving office, from havingany interest in or receiving any benefit from Community Development Block Grant funds for either yourself, or those with whomyou have business or immediate family ties (CFR 570.611).o Sunshine Law - Florida's Government-in-the-Sunshine Law was enacted in 1967. Today, the Sunshine Law regarding opengovernment can be found in Chapter 286 of the Florida Statutes. These statutes establish a basic right of access to most meetings of boards, commissions and other governing bodies of state and local governmental agencies or authorities.o Voting conflict - Form 8B is for use by any person serving at the county, city or other local level of government on an appointed or elected board, council, commission, authority or committee. lt applies equally to members of advisory and non-advisory bodieswho are presented with a voting conflict of interest under Section 112.3143, Florida Statutes. Upon request, copies of these laws may be obtained from the City Clerk. I HEREBY ATTEST TO THE AGCURACY AND TRUTHFULNESS OF THE APPLICATION; AND I HAVE RECEIVED, READ AND WILL ABIDE BY CHAPTER 2, ARTICLE VII, OF THE MIAMI BEACH CITY CODE, ENTITLED "STANDARDS OF CONDUCT FOR CITY OFFICERS, EMPLOYEES AND AGENCY MEMBERS AND ALL OTHER APPLICABLE COUNTY AND/OR STATE LAWS AND STATUTES ACCORDINGLY." aR 0 o u4lo (PLEASE PRrNT) Received in the Office of the City Clerk by: Name of Deputy Clerk Control No. ATTACH A CURRENT RESUME, PHOTOGRAPH AND A GOPY OF ANY APPLICABLE PROFESSIONAL LICENSE. ATTACH ADDITIONAL SHEETS, IF NECESSARY, TO PROVIDE REQUIRED INFORMATION. C:\Users\CLERQueR\Desktop\BC APPLlCATlON.docx Page 3 of4 375 MIAAAIBEACH City of Miomi Beoch 'I 700 Convention Cenler Drive, Miomi Beoch, Florido 331 39, www.miomibeochfl.oov OFFICE OF THE CITY CTERK C ityClerk@m iom ibeochfl. gov Telephone: 305.673.7 41 1 Fox: 305.673.7254 Acknowledgement of fines/suspension for Board/Committee Members for failure to comply with Miami- Dade County Financial Disclosure Code Provision Code Section 2-11.1(i) (2) Board Member's Name: lunderstandthatnolaterthan@allmemberSofBoardsandCommitteesoftheCityof Miami Beach, including those of a purely advisory nature, are required to comply with Miami-Dade County Financial Disclosure Requirements. This means that the members of City Advisory Boards, whose sole orprimary responsibility is to recommend legislation or give advice to the City Commission, must file, even though they may have been recently appointed. Qle-of the following forms must be filed with the City Clerk of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida, no later than 12:00 noon of July 1, ol each year. 1. A "Source of lncome Statement" 2. A "Statement of Financial lnterests (Form 1)" 3. A Copy of your latest Federal lncome Tax Return Failure to file one of these forms, pursuant to the Miami-Dade County Code, may subject the person to a fine of no more than $500, 60 days in jail or both. Sigpature I Updated: Thursday, December 22, 2016 ClUsers\CLERQueR\Desktop\BC APPLlCATlON.docx Page 4 of 4 376 Kathaleen M. Smarsh 377 THIS PAGE INTENTIONALLY LEFT BLANK 378 MIAMIBTACH 5 nn'rqffH K*n+Ateert I O,\fi.8 At'( * C 0t$ lrJ lTi'E tr APPLICAT tC ri f 0 8*l M Last Name to +5 tf tt . r+ zpt First Namerwiami bearJ., Middle lnitial33t5IFL Home Address City State Zip Code t05-- 5029 05-+33-b5r9 . cofA Home Telephone Work Telephone Cellular Telephone Email address -7 Seas Renl+ra bro kcr I ow n€r _rJcuuPau(Jll--4b -l;"cob Qo"d * 6ot .rni"^i ki&- -f | 3q t i g City StateBusiness Address Professional License (desoibe): Zip Code9.3o.tB Please attach a copy of cunently etrective professional license. Pursuant to City Gode section 2-22l4la & b: Members of agencies, boards and commiftees shall be affiliated with the City. This requirement shall be fullilled in the following wa) s: a. An individual shall have been a resident of the City for a minimum of six months; or b. An individual shall demonstrate ownership/interest for a minimum of six months in a business established in the City for a minimum of six months. o Resident of Miami Beach for a minimum of six (6) months: yes EIor fo E o Demonstrates ownershipfinterest in a business in Miami Beach for a minimum of six months: Yes Ef,r ruo E o Are you a registered voter in Miami Beach: Yes Elor lo E o lam nowa residentof: North Beach f,l souttr Beach EImioaU Beach Eo I am applying for an appointment because I have special abilities, knowledge and experience. Please list below:?..- r)- 1- t -DJt-6:---1a^^-t - -- .L- fla.r^l-^--s-* a-^^--)-.'^.- o Are you presently a registered lobbyist with the City of Miami BeachZ Yes fl or no El Please list your preferences in order of ranking [1] first choice [2] second choice, and [3] third choice. Pl$Sg-qgtelhalonlv three (31 cholces will be observed bv the Offlce of the Citv Clerk. Affordable Housing Afiisory Committee Health Advisory Committee Parks and Recreation Facilities Board 6 Art in Public PlacesCommittee Health Facilities Authority Board Personnel Board AuditCommittee Hlspanic Affairs Committee PlanninaBoard' ,f BoardofAdiustment" t Historic Preservation Board ,f Police Citlzens R€lations Commiftee Budoot Advisorv Committee HousinoAuthoritv Poduction lndustry Council Committeeon the Homeless Human Riohts Committee SisterCities Program CommitteeforOualitvEducationin MB LGBT Advisorv Committee Sustainabilitv Committee Convention Center Mvisory Board Marine & Waterfmnl Protection Authority II - Transportation, Parking, & EJiclrcle-Pedestian Facilities Committee * 7- CulturalArts Council Miami Beach Commission forWomen Visitor and C,onvention Authority Design Revieriv Board fl Normandy Shor€s Local GovemmentNeiohborhmd lmorovement Youth Commission Disabilltv Access Committee Ad Hoc AntiSullvino Task Force * Board members are required to file Form I -'statement of Flnanclal lnterest'with the State.lf you seek appointment to a professional seat (e.9., lawlrer, architect, etc.) on the Board of Adjustment, Design Review*Board, Historic Preservation Board or Planning Board, attach a copy of your currently-effectively license, and furnish thefollowing lnformation: TlDe of Professiona! License License lssuance Date .Llcense Expiration Date Number Clusers\CLERQUeR\Desktop\BC APPLlCATlON.docx Page I of4 379 € Note: lf appllng for the Youth Center posltions of the Parks and Recreations Facilities Board, please indicate your affiliation with the Scott Rakow Youth Center and/or the North Shore Pa*s Youth Centen r Please describe your past service wilh the City's Youth Centers (indude dates of service): . Present participation in Youth Center activities by your children: yes E no f] lf yes, please list below the names of your children, their ages and the programs in which they participate: Child's name: Child's name: . Have you ever been convicted ofa felony? Yes lf yes, please explain in detail: r Do you currently have a violation(s) of City of Miami Beach Code? yes fl or H&l I yes, please explain in detail: . Do you cunently owe the City of Miami Beach any money? Ves f,f or. No El I yes, explain in detail: . Are you currently seMng on any City Board or Committee? Yes El or no El I yes, whicfr board/committee? o ln what organization(s) in the City of Miami Beactr do you cunently hold membership?miami (Yo* Gnnunig T bf,.o* (qloIe*t-t\ , Boar"lName o List all properties owned or in which you have an interest within the City of Miami Beach:tOlS F# $, 'f . lot mtahi neocl 3grtolo45 lfi St. fur. 3ot rnror,i beenA 73t39 o Are you now employed by tre City of Miami Beactr? Ves E or No [71 Which department and title? o Pursuant to Chy Code Sectlon 2-25 (b): Do you have a employed bythe City of Miami Beach? Ves EorNo f,ZI parent fl, spouse f[ cnitd fl 0.r,", fl o. sister ff who is lf "Yes,' identiff person(s) and departrnent(s): The followlng information is voluntary and is neither part of your appllcatlon nor has any bearing on your consideration forappolntment. lt is belng asked to comply with City divercity reporting requirements. Gender: Malel lFemale Race/Ethnic Categories What ls vour race?fl et,i""n-lmerican/B lackEl caucasianruhitef,l e"i"n or Pacifc lslanderf] ruative-American/American lndian CiUsers\CLERQUeR\Desktop\BC APPLlCATlON.docx Page 2 ot 4 380 fl otn"r- Print Race: Do you consider yourself to be Spanlsh, Hlspanlc or Latino/a? Mart the "No" box if no( Spanish, Hispanic, Latino/a. No Yes Do you consider yourself Physically Disabled? No Yes NOTE: lF APPOINTED, YOU W|LL BE REQUIRED TO FOLLOW CERTAIN LAWS THAT APPLY TO CIIY BOARD/COMMIITEE MEMBERS. THESE LAWS INCLUDE, BUT ARE NOT LIMIIED TO:o Prohibition ftom directly or indirectly lobbying City personnel (Miami Beach City Code section 2459).o Prohibition from contracting with the City (Miami-Dade County Code section 2-11.1).o Prohibition from lobbylng before the board/committee you have served on for period of one year afler leaving office (Miami Beach City Code section 2-26).o Requirement to disclose certain financial interests and gifts (Miami-Dade County Code section 2-11.'l).o CMB Community Development Advisory Committee: prohibition, during tenure and for one year after leaving office, from haMngany interest in or receiving any benefit fom Community Development Block Grant tunds for either yourself, or thos6 with whomyou have business or immediate family ties (CFR 570.61 1). o Sunshine Law - Florida's Govemment-in-the€unshine Law uras enacted in 1967. Today, the Sunshine Law regarding opengovemment can be found in Chapter 286 of the Florida Statutes. These slatutes establish a basic right of acce$s to most meetings of boards, commissions and other goveming bodies of state and local govemmental agencies or authorities.o Voting conflict - Form 8B is for use by any person serving at the county, city or other local level of government on an appointed or elected board, council, commission, authority or committee. lt applies equally to members of advisory and non-advisory bodies who are presented with a voting conflict of interest under Section 112.3143, Florida Stratutes. Upon request, copies of these laws may be obtained from the Gity Clerk. I HEREBY ATTEST TO THE ACCURACY AND TRUTHFULNESS OF THE APPLTCATION; AND I HAVE RECEIVED, READ ANDWILL ABIDE BY CHAPTER 2, ARTICLE VII, OF THE MIAMI BEACH Cfi CODE, ENTITLED "STANDARDS OF CONDUCT FOR CITY OFFICERS, EMPLOYEES AND AGENCY MEMBERS AND ALL OTHER APPLICABLE COUNTY AND/OR STATE LAWS AND STATUTES ACCORDINGLY-" Received in the Ofiice of the City Clerk by: Name of Deputy Clerk Control No.Date ATTACH A CURRENT RESUME, PHOTOGRAPH AND A COPY OF ANY APPLICABLE PROFESSIONAL LICENSE. ATTACH ADDITIONAL SHEETS, tF NECESSARY, TO PROVIDE REQUIRED INFORMATION. wE VE thnleen Clusers\CLERQUeR\DesKop\8C APPLICAT|ON.docr Page 3 of 4 381 MIAMIBTACH Cfiy oe Miomi Beoch I700 Convenlion Cenler Drive, Miomi Beoch, Floridq 33139, www.miomibeochfl.gov OFFICE OF THE CIW CLERK C ityClerk@m I o m ibeochfl , gov Telephone: 305.673.741 I Fox: 305.673.7254 Acknowledgement of fines/suspensaon for Board/Committee Members forfailure to comply with Miami- Dade County Financial Disclosure Gode Provision Code Sectlon 2-11.11i)l2l Board Membe/s Name:K q*h*lea, ,fr,"*sL lunderstandthatnolaterthan@lJmembersofBoardsandCommitteesoftheCityof Miami Beach, including those of a purely advisory nature, are required to comply with Miami-Dade County Financial Disclosure Requirements. This means that the members of City Advisory Boards, whose sole orprimary responsibility is to recommend legislation or give advice to the City Commission, must file, even though they may have been recently appointed. Qlqof the following forms must be filed with the City Clerk of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida, no later than '12:00 noon of July 1, of each year. 1. A "Source of lncome Statemenf' 2. A 'Statement of Financial lnterests (Form 1)" 3. A Copy of your latest Federal lncome Tax Retum Failure to file one of these forms, pursuant to the Miami-Dade County Code, may subject the person to a fine of no more than $500, 60 days in jail or both. Updated: Thursday, December 22, 201 6 ClUsers\CLERQUeR\De3ktop\BC APPLlcATlON.docx Page 4 of4 382 Bullding ond Sustoinlng Communfi - Unlque, Vlbronf, Dlverse December L7,2Ol8 Claudia Wong Parking Department Administration 1755 Meridian Avenue, Suhe 200 Miami Beach, Ft 33139 Dear Ms. Won& Please be advlsed that Mlami Beach Community tlevelopment Corporation has selected Kathleen Smarsh to be our representatlve on the City of Miami Beach Transportation Board. !f you have any questions, do not hesitate to contact me. lnterim Executlve Dlrector Mtttnr Belcx CoturtruNrry DsveLopMENT ConpoRATroN 945 Pennqylvonio Ave. r Mloml Beoch, Florido CC139 o Phone 305 $8-m9O r Fox C05 538-286C 383 Kathaleen M. Smarsh 1045 106 St. Apt. 201 Miami Beach, FL 33t59 info@TSeasRealty.com Mobile: (305) 733-6519 7 Seas Realty, Miami Beach, FL;2014 - prcsent Btoket/Owner Specializes in guiding international and domestic customers in the process of purchasing and selling real estate in Miami, FL. Holds the CIPS designation, Certified Intetnational Property Specialist, and is a member of ICREA, the International Consortium of ReaI Estate Associations, in addition to local, state and national real estate associations. 2072-2074: residential agent and RCC agent, Residential Community Commercial, at Coldwell Banker, Miami Beach. Ellswotth Law Firm, P.A., Miami Beach, FL; 2008-2012 Office Manager Manage the law firm's opetations, bookkeeping, provide budgets and supervise staff. Assist Mr. Ellsworth in a paralegal capacity in civil and criminal matters in both state and federal cases. Notthen Ttus t, Cotpotate Real Es tate D eparan ent; 2000-2008 Vice President, Chicago, IL; Octobet 2006 - November 2007o Portfolio Strategist for Nothern Trust Chicago properties. Assist senior management during lease negotiations and prepare presentations to the bank's Management Committee. lTorked closely with finance partners and business leaders to determine best solutions.o Oversaw the selection process of architectutal firms that assisted Colporate Real Estate in the bank's Chicago master planning effort to manage neady 2 million square feet of office space.o Proiect Manager to implement a complex computer aided facility management system for the bank's Chicago and European locations. Required significant integration with IT and HR project teams along with the system's vendor. 2"d Vice President, London, England; January 2005 - September 2006o Team Lead for Corporate Real Estate during Northern Trust's acquisition of Barings Bank Financial Services Gtoup ftom ING bank. Inter-face with senior business leaders to determine predicted headcount, space needs, and budgets.o Project Manager of construction projects at London's Canary Wharf and Dublin's George's Court. Developed the construction budgets with f,nance partners and managed over $20million in construction budgets.o Project Manager of renovation project at the bank's Dublin disaster recovery site.. 2005 recipient of the Chairman's Absolute Q"^lity Award with the Barings acquisition team. Bank Officet, Miami, FL; September 2000 - Decembet2004o Worked at approximately 30 Northern Trust Bank of Florida btanches to manage new construction, renovation, reconftguradon, or moves.o Assist in developing budgets and provide monthly reports to senior management that tracked all Northern Trust Bank of Florida capital approved projects.o Intelpret lease agreement terms and lease conditions to bank branch managers and vendors in otder to ensure that Northern Trust abides to contracts. 384 Katbaleen Smarsh, Page 2 Leeds Busiaess Counseling, Miami, FL;2000 Assisted the President, Mr. Herbert Leeds, in retail project studies that determined a client's strategy to expand in their respective market. Analyzed Claritas reports, sought information from building owners, shopping centers and other sources to create reports that would distinguish the client's strengths and potentials. U.S. Peace Cotps Volunteet, Ivoty Coast, lVestAftica; 1998 - 1999 Small Business in Development Volunteer. Helped translate the host country's development plans into community level programs to improve the lives of the local people. Provided technical assistance and training in business development and management. Promoted and taught the importance and benefits of good health to villagers in remote regions. DFS (Duty Ftee Shopperc), Guam; 1995 - 1997 Senior accountant of inventory control. Ensured integrity of company inventory balances by monitoring valuation reports and teviewing stock ledger activity. Educationo University of Miami,2070,Alfus Patient Advocacy Certificate Programo Keller Graduate School, 2004, Project Management Systems; and Florida Real Estate Principles, Practices & Law. BA Economics, 1995, State Univetsity of New York at Buffaloo Exchange student, 7994,Morash University in Melbourne, Australia Additional Informationo Board member of the Miami Beach Community Development Corpotation.o Cuttendy serrring as Vice President of Park Gardens Condominium Association in Miami Beach. Served in 3 different officer positions over the past 14 years. Co-project manager of the association's 40 year re-certification project in 2008.o Active member of the Flamingo Park Neighborhood Association.o Active member of Miami Beach United.o Passed the Florida Broker Real Estate exam,2074.o Graduate of Miami Beach Advanced Citizens' Police Academy,2074.o Member of the City of Miami Beach Chamber of Commerce,2012-2074.o Served as an altetnate board member of the Miami Beach Leadership Academy Alumni Association.o Graduate of Mami Beach Citizens'Police Academy,2010.o Graduate of Miami Beach Leadership Academy,2009.o Prior to moving to London in 2005, served on the board of the Returned Peace Corps Volunteets of South Florida and was a volunteer with Big Brothers Big Sisters and the American Red Cross.o Ttaveled, studied andf or worked in Australia, Asia, Europe, Africa and South America. 385 nr)xtnoo:oo mnzov Loz -.{-zNo-m tam(")nm-.{no gIrl!7{ J=F ttIozEil o(/) o@ n =IA 3;8 =fE=+ iff= ail =;q trl zi =I .tni,i E !XirP tfr, [ 8XeuE fiZt uB -ml--{mFAF cI- =oz SErt+qF3TE'6azE9it='m600)am Im3.3IHh.FCG)do(DhN60fNo Ja' G' oC-oo)ta rD 6'c=oo)O{r ;o)C)-l.-tOo) Ovtob-oo-tCJJqd)fo)='=r 0)J rD-i==,Jloor+oCtoFt)6'oonC3o)f+G-@' -t 386 voxtt1no-{-{ t1o m7zon -.{t-omsrt-m?2-.{mn Vtmonm-tn o_ Im! 46i 2 vt s.4 0s Eai =H= s g i? 6 23 r=Err I=12H=sa\u":fr P x5r u*il EH - f;g€ t F* t vtF a, U m - --r1 Oo qfr Fm'.F(./,-{rmme E =oz {q)(' 111{+ -_ E-5B99siil seo-oJ*E (^)8FAN(DOoljO\OJ )6'6' oC.l oo:)@ rD 6'c=E,o)O€==.Od ,*g-rOo) Outo6-or),+Cqdf =-foJ ='=r o) rDif=vtoo o Caao 6'o-onc3oJ-1.G-@' -t 387 388 Stuart R. Reed 389 THIS PAGE INTENTIONALLY LEFT BLANK 390 g MIAMIBEACH NAME: Reed CITY OF MIAMIBEACH BOARD AND COMMITTEE APPLICATION FORM Stuart Last Name HOME ADDRESS: 2902 N 35 Ter First Name Hollywood Middle lnitial United States 33021 Apt No. Home No./Street State Zip Code stuartreedesq@aol.com City PHONE: Work Email Address Business Name: Law & Mediatlon. LLc position: attorney and mediator Address: 3001 W Hallandale Bch Blv, Suite 304 Hallandale Beach FL Street State Zip Code Pursuant to City Code section 2-22(41a and b: Members of agencies, boards, and committees shall be affiliated with the city; this requirement shall be fulfilled in the following ways: a) an individual shall have been a resident of the city for a minimum of six months; or b) an individual shall demonstrate ownership/interest for a minimum of six months in a business established in the city. o Resident of Miami Beach for a minimum of six (6) months Yes o Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months; Yes . Are you a registered voter in Miami Beach: No o (Please circle one): I am now a resident of: o I am applying for an appointment because I have special abilities, knowledge and experience. Please list below: Member of MDPL selected to represent organization, wlth a background in land use law and transportation issues. o Are you presently a registered lobbyist with the City of Miami Beach? No Please list your preferences in order of ranking [1] first choice [2] second choice, and [3] third choice. Please note that only three (3) choices will be observed by the City Glerk's Office. (Regular Boards of City) Ghoice 1: Transportation, Parking and Bicycle-Pedestrian Facilities Committee Ghoice 2: Ghoice 3: * Board members are required to file Form 1 - "statement of Financial lnterest" with the State. lf you seek appointment to a professional seat (e.9., lawyer, architect, etc.) on the Board of Adjustment, Design ReviewBoard, Historic Preservation Board or Planning Board, attach a copy of your currently-effectively license, and furnish thefollowing information: Type of Professional License License Number License Expiration DateLicense lssuance Date Note: lf applying for Youth Advisory Board, please indicate your affiliation with the Scott Rakow Youth Center: 1. Past service on the Youth Center Advisory Board: 1o years of Service: 2. Present participation in Youth Center activities by your children No if yes, please list the names of your children, their ages, and which programs. List below: City 391 . Have you ever been convicted of a felony: No lf yes, please explain in detail: . Do you currently have a violation(s) of City of Miami Beach codes: No lf yes, please explain in detail: o Do you currently owe the City of Miami Beach any money: No lf yes, please explain in detail: . Are you currently serving on any City Boards or Committees: No lf yes, which board? o What organizations in the City of Miami Beach do you currently hold membership in? Name Title MDPL Member / Attorney o I am now employed by the city of Miami Beach: No Which department? o List all properties owned or have an interest in, which are located within the Cig of Miami Beach: Property 1420 Pennsylvania Ave, #302, Miami Bch 33139 Gender: Male The following information is voluntary and is neither part of your application nor has any bearing on your consideration for appointment. lt isbeing asked to comply with federal equal opportunity reporting requirements. Race/Ethnic CategoriesWhat is your race? Mark one or more races to indicate what you consider yourself to be. White Other Description: Are you Spanish/Hispanic/ Latino? Mark the "No" box if not Spanish / Hispanic / Latino. No PhysicallyChallenged: No NOTE: lf appointed, you will be required to follow cerlaln laws which apply to city board/commiftee members.These laws include, but are not limlted to, the followlng: o Prohibition from directly or indirectly lobbying city personnel (Miami Beach City Code section 2-459).o Prohibition from contracting with the city (Miami-Dade County Code section 2-11.'l).o Prohibition from lobbying before board/committee you have served on for period of one year after leaving office (Miami Beach Code section 2-26).o Requirement to disclose certain financial interests and gifts (Miami-Dade County Code section 2-1 1 .1). (re: CMB Community Development Advisory Committee): prohibition, during tenure and for one year after leaving office,from having any interest in or receiving any benefit from Community Development Block Grant funds for either yourself, or those with whom you have business or immediate family ties (CFR 570.61 1). Upon request, coples of these laws may be obtained from the Gity Clerk. 392 "l hereby attest to the accuracy and truthfirlness of the appllcatlon and haye recelved, read and will ablde by Chapter 2, ArtlcleVll - of the Clty Gode "Standards of Conduc't for Clty Ofrlcers, Employees and Agency temberr." I Stuart Reed agreed to the following terms on1l1l2o19 112O1=22 Alt Received in the City Clerk's Office by: Name of Deputy Clerk Control No. Date 393 STUART RUSSELL REED OFFICE ADDRESS: 3001 West Hallandale Beach Boulevard, Suite 304 Hallandale Beach, FL 33009 TELEPHONE: 954-874-2935 /305-725-2052 EMAIL: StuartReedEsq@aol.com WEBSITE: www.LawAndMediationllC.com PROFESSIONAL CREDENTIALS: Admitted to the Florida Bar since 1992. Florida Supreme Certified Mediator for Circuit, County and Family Court cases. Admitted to U.S. District Court for the Southern District of Florida. EDUCATION: Florida State University'Tallahassee, FL .|uris Doctor 'L992 University of Virginia . Charlottesville, VA. B.A. with Major in Environmental Sciences ' 1988 PROFESSIONAL EXPERIENCE: Attorney and Mediator . Law & Mediation, LLC ' Hallandale, Florida ' February 2007 to present Litigation Attorney of Counsel 'Legal & Compliance, LLC' Miami Beach, FL' 2003 to present Attorney. Stuart Reed, Esq., P.A.' Miami Beach, FL'L997-2003 Litigation Attorney. Carmel, Grass & Reed, P.A. . Miami, FL.L995-L997 Associate Attorney' Law Office of Allen P. Reed, Esq. ' North Miami Beach, FL'1994-1995 Law Clerk ' Law Office Gregg SchwarE, P.A. ' Miami,FL'L994 Grant Writer . Society for the Protection of Nature in Israel ' Tel Aviv, Israel ' L992-L993 Public Interest Intern' 1000 Friends of Florida 'Tallahassee, FL Summer'1992 Law Clerk. Young, Van Assenderp, Varnadoe & Benton, PA. . Tallahassee,FL. L99t-1992 Legislative Intern/Bill Analyst. Florida Senate Committee on Natural Resources and Conservation' Tallahassee, FL' 7990-199L Pollution Control Inspector . Miami-Dade County Department of Environmental Resources Management' Miami, FL' 1988-1989 Summer Internship .Thomas fefferson Planning District Commission . Charlottesville, VA . 1987 PROFESSIONAL AND COMMUNITY ACTIVITIES: Current Chair of Public Education Outreach Committee, Collaborative Law Professionals of South Florida. Instructor on "Mindfulness and the Collaborative Practice" at Advanced Collaborative Divorce Training Program, Nova Southeastern University, fanuary 2018 and 2019. Authored "Mindfulness for Mediators: Towards Avoiding Ethical Pitfalls and Doing Better Mediations", published by the Academy of Professional Family Mediators on Feb. 9,2078. Course instructor and developer, "Yoga and Mindfulness for Lawyers", approved by the Florida Bar for 2 CLE Credit Hours Leadership Hollywood Class 36, Greater Hollywood Chamber of Commerce Member of Hollywood Lions Club Former Chair of Sierra Club's Miami Group 394 Former Chair of Miami Beach Marine Authority Recent Director, Miami Design Preservation League Former Board Member, Environmental Coalition of Miami Beach Board Member, Miami Beach Historical Association Initiated Miami Beach Indian Creek Greenway project with the U.S. National Park Service. Volunteer Lecturer for EDAW Summer Student Program on designing the Indian Creek Greenway. Initiated B-day kayak trip around Biscayne Bay for Citizens for a Better South Florida's Biscayne Bay environmental education program. Helped to secure public Baywalk easement in Miami Beach. Helped to prevent sale of public beachfront lands for private development in Miami Beach. Initiated Miami Beach City Commission resolutions to restore near shore coral reefs and improve public shorelines. Volunteer, Charlottesville Housing Improvement Program Volunteered in Big Brothers and Big Sisters Program Volunteered in Florida ImmigrantAdvocacy Center's Special fuvenile Immigrant Project 395 *irF 396 Steven N. Adkins 397 THIS PAGE INTENTIONALLY LEFT BLANK 398 g MIAMIBEACH NAME: Adkins CITY OF MIAMIBEACH BOARD AND COMMITTEE APPLICATION FORM Steven Last Name First Name HOME ADDRESS: 1756 N Bayshore Dr. 37G Miami Middle lnitial 33t32 Apt No. Home No./Street PHONE: 3058070595 305673'1440 State Zip Code sadkinsSl 9@comcast.net City Home Business Name: MDGLcc Address: ll30 WASHINGTON AVE posiiion: PresidenUcEO Email Address MIAMIBEACH FL 33139 Street State Zip Code Pursuant to Gity Code section 2-22141a and b: Members of agencies, boards, and committees shall be affiliated with the city; this requirement shall be fulfilled in the following ways: a) an individual shall have been a resident of the city for a minimum of six months; or b) an individual shall demonstrate ownership/interest for a minimum of six months in a business established in the city. o Resident of Miami Beach for a minimum of six (6) months No o Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: Yes o Are you a registered voter in Miami Beach: No. (Please gilqp one): I am now a resident of: o I am applying for an appointment because I have special abilities, knowledge and experience. Please list below: Current Chair of the Board of VGA. Are you presently a registered lobbyist with the City of Miami Beach? No Please list your preferences in order of ranking [1] first choice [2] second choice, and [3] third choice. Please note that only three (3)choices wil! be observed by the City Glerk's Office. (Regular Boards of City) Ghoice 1: Visitor and Convention Authority Choice 2: LGBTQ {dvisory Committee Choice 3: Human Rights Committee * Board members are required to file Form 1 - "statement of Financial tnterest" with the State. lf you seek appointment to a professional seat (e.9., lawyer, architect, etc.) on the Board of Adjustment, Design ReviewBoard, Historic Preservation Board or Planning Board, attach a copy of your currently-effectively license, and furnish thefollowing information: Type of Professional License City License lssuance Date License Number License Expiration Date Note: lf applying for Youth Advisory Board, please indicate your affiliation with the Scott Rakow Youth Center: 1. Past service on the Youth Center Advisory Board: po years of Service: 2. Present participation in Youth Center activities by your children No if yes, please list the names of your children, their ages, and which programs. List below: 399 . Have you ever been convicted of a felony: No lf yes, please explain in detail: o Do you currently have a violation(s) of City of Miami Beach codes: No lf yes, please explain in detail: . Do you currently owe the City of Miami Beach any money: No lf yes, please explain in detail: . Are you currently serving on any City Boards or Committees: No lf yes, which board? o What organizations in the City of Miami Beach do you currently hold membership in? o I am now employed by the city of Miami Beach: No Which department? o List all properties owned or have an interest in, which are located within the City of Miami Beach: Gender: Male The following information is voluntary and is neither part of your applacation nor has any bearing on your consideration for appointment. lt isbeing asked to comply with federal equal opportunity reporting requirements. Race/Ethnic CategoriesWhat is your race? Mark one or more races to indicate what you consider yourself to be. White Other Description: Are you Spanish/Hispanic/ Latino? Mark the "No" box if not Spanish / Hispanic / Latino. No PhysicallyChallenged: No NOTE: lf appointed, you will be required to follow certaln laws which apply to clty board/commlttee members,These laws include, but are not limited to, the following: o Prohibition from directly or indirectly lobbying city personnel (Miami Beach City Code section 2-459).o Prohibition from contracting with the city (Miami-Dade County Code section 2-11.'l).o Prohibition from lobbying before board/committee you have served on for period of one year after leaving office (Miami Beach Code section 2-26).o Requirement to disclose certain financial interests and gifts (Miami-Dade County Code section 2-1 1 .1). (re: CMB Community Development Advisory Committee): prohibition, during tenure and for one year after leaving office,from having any interest in or receiving any benefit from Community Development Block Grant funds for either yourself, or those with whom you have business or immediate family ties (CFR 570.61 1). Upon request, copies of these laws may be obtained from the Clty Glerk. "l hereby attest to the accuracy and truthfulness of the application and have recelved, road and wil! abide by Chapter 2, ArticleVll - of the City Code "Standards of Conduct for City Officers, Employees and Agency Members." I Steven Adkins agreed to the following terms on 121412O18 2:39:22 PM Received in the City Clerk's Office by: Name of Deputy Clerk Control No.Date 400 Biography - Steven Noel Adkins Miami-Dade Gay & Lesbian Chamber of Commerce President Steve Adkins is presently the President of the Miami-Dade Gay & Lesbian Chamber of Commerce, the largest not-for-profit corporation in the county for gay and lesbian businesses. In the two years since Mr. Adkins took over the reigns MDGLCC membership has grown to become the2"d largest LGBTQ Chamber in the USA. In 1999, Steve moved from his native San Diego, California to South Florida and immediately became interested in promoting Miami as a year-round, gay and gay-friendly tourist destination, when he owned and operated the Jefferson House, a South Beach Boutique Bed & Breakfast Hotel. Prior to his move to the East Coast, Mr. Adkins held several positions in the banking world. Steve spent the majority of his banking career first at Bank of America (1975 to 1984) and Security Pacific Bank NA (now part of BofA; 1984 to 1995). From 1995 to 1999, he served as Vice President International Trade Finance Manager for the Union Bank of Califomia (part of Bank of Tokyo Mitsubishi), Southern California; his portfolio included prestigious accounts such as the San Diego Padres, Jenny Craig, Aldila, Inc. (Golf); Cubic Corporation, Titan, Inc., ASI Aerospace Group; and University Contractors (UMEC). Steve holds a Bachelor of Science degree from San Diego State University's school of Business Admini stration (Management with Concentration in Finance). He is currently the President of the Miami-Dade Gay & Lesbian Chamber of Commerce, the largest not-for-profit corporation in the County for gay and lesbian businesses. MDGLCC membership has increased from 50 to 700 members in the seven years since Adkins took over the reins in 2006. Steve Adkins is immediate past Chair of the Miami Beach Visitor and Convention Authority. Mr. Adkins currently serves on the board of the Greater Miami Convention & Visitors Bureau, the Coalition of Chambers, and the Pride Coalition. He is also Vice Chair of Miami Beach Gay Pride and, the Miami Gay & Lesbian and Ft. Lauderdale Film Festivals. Mr. Adkins received the 2009 Eddie Mclntyre Community Service Award from the National Gay & Lesbian Task Force, 401 the 2010 Bacardi/Grey Goose Icon Award and the Miami-Dade Gay & Lesbian Chamber of Commerce received Equalrty Florida's first "Equality Means Business" Award 2012. Steven Noel Adkins currentlv serves on: Board Member - Greater Miami Convention & Visitors Bureau Marketing Council forthe GMCVB One Community One Goal Coordinating Council @eacon Council) Miami-Dade Gay &Lesbian Chamber of Commerce - Board MDGLCC Foundation Inc. - Chair Miami Beach Visitor & Convention Authority - Chair National Gay & Lesbian Chamber of Commerce - South Regron Chair 402 403 THIS PAGE INTENTIONALLY LEFT BLANK 404 Jeff M. Lehman 405 THIS PAGE INTENTIONALLY LEFT BLANK 406 g s3a B y nos Av€Ju(FJt Dc-t-L 33t sY Home Address City 3os 1ao 951? State Zp Code Home Telephonefitsr Sautc€Woft Telephone Rc\tDc-^trl.+L Cellular Telephone Email address PE(kt /.lL btQCCao< OccupationBusiness Name Business Address Zip Code Professional License (describe): Expires: Please atlach a copy of currently effective professional lrbense. Please list your preferences in order of ranking [1] first choice [2] second choice, and [3] third choice. Please note that onlv three (31 choices will be observed bv the Offlce of the Citv Glerk. City Pursuant to City Code section 2-22l4la & b: Members of agencies, boards and committees shall be affiliated with the City. This requirement shall be fulfilled in the following ways: a. An individual shall have been a resident of the City for a minimum of six monthsi or b. An individual shall demonstrate ownership/interest for a minimum of six months in a business established in the City for a minimum of six months o Resident of Miami Beach for a minimum of .i*fej lnoitir, v"" ft o, xo 6 o Demonstrates ownership/interest in a business in Miami Beach for a minimum of six months, Y"" Bor, Uo E o Are you a registered voter in Miami Beach: Yes E or1oE o I am now a resident of: North Beach E Souttr Beach E miOAt" Beach f] o I am applying for an appointment because I have special abilities, knowledge and experience. Please list below: o Are you presenty a registered lobbyist with the City of Miami Beach? Yes fl or loffi E Affordable Housing Advisory Committee 0 Hoalth Advisory Committee E Parks and Recreatlon Facllltles Board € t] Arl in Public Places Commitlee tl Haalth Faclliil66 Authorltv Board n Personnel Board O Audit Commitee E Hisoanic Affalra Committ€e n Plennino Board*tf E Board of Adiustnent '*0 Historic Presarvation BoardW 0 Polic6 Ci(izens Relatiom Committ66n Buddei Adviroru Commitlee f'l Hou:lna Authoritv l-"1 Produclion lnduslru Council E Commitlee on the Homelesg E Human Riohl.s Commltlee E Sister Citie3 Prooram E Commitlee for Ouelitv Educatbn in MB O LGBT AdvlBoN Commlttee E Sustalnabilltv Committ6a E Convention Center Advisory Bcard E Marine & Waterfront Proteciion Authorlty O Transportatlon, Parkin g, & Bicycle-PedestrianFrcllltlm e^mmltl.e E CulturalArts Council O Mlaml Beach Commiaslon forWomen IWisitor and Conv€ntion Authority D Deslgn Review BoardN o Normandy Shores Local GovemmentNal^hh^rfi ^^,1 lm6mv.m.nl O Youth Commlssion tr Disabilitv Access Committee * Board members are rcqulrcd to lile Form I - "statement of Financlal In6rtsf'wlth the State.fr tf you seel appolntment to a profecslonal seat (e.9., lawyer, archltect, etc.) on the Board of Adrustment, Deslgn Revlew Board, Historic Prcservatlon Board or Phnnlng Board, attach a copy of your currently+ffectlvely license, and fumlsh the following information : Type of Professional Llcense_ Llconse lssuanco Date Licenee Number Llcense Expiration Date _ C :\Users\CLERQuoR\Desktop\8C APPLlCAf lON.docx Page I of4 407 € Note: lf applying for the Youth Center positions of the Parks and Recreations Facilities Board, please indicate your affiliation with the Scott Rakow Youth Center and/or the Nortr Shore Parks Youlh Center: o Please describe your past service with the City's Youth Centers (include dates of service): o Present participation in Youth Center activities by your children: Ves f] ruo E lf yes, please list below the names of your children, their ages and the progmms in which they participate: Child's name: Child's name: Age: _ Program: Age: _ Program: o Have you everbeen convicted ofa felony? Yer lf yes, please explain in detail: . Do you cunently have a violation(s) of City of Miami Beach Code? Ves E or XEtf yes, please explain in detail: o Do you cunently owe the City of Miami Beach any moncy? Ves E or, ffoF lf ycs, explain in detail: . Are you cunently serving on any City Board or Committee? YerEor ffo fl I yes, wtrich board/committee? V. C . A . e ln what organization(s) in the City of Miaml Beach do you currentty hold membership?V C.4. - eufr€-pr &otaD htrntJet{ Name Position o List all properties owned or in which you have an interest within the City of Miami Beach: . Are you now employed by the Cig of Miami Beach? yes f] o, I{oE Which departnent and title? o Pursuant to Clty Codc Scctlon 2-25 (bf-Qo you ltave a parent E, .porr" E, child E U.tf,u, fl ol. sister E who is employed by the City ol Miami Beach? Yer Uor Xo [Z$ lf "Yes," identify person(s) and department(s): The followlng lnformaUon lt voluntary and lr nelther part of your appllcatlon nor har any bearlng on your conrldeatlon for appolntment. lt b belng uked to comply wlth Clty dlvenlty rcporting rcqulrcmentr. Gender: Male (J Female Race/Ethnlc Catcgorler What b vour race?U Rtrican-Rmerican/Btack Elcaucasian/whiteE Rri"n or Pacific lslanderE ruatlve-Rmerican/American lndian ClUscrSELEROucRDosktop\BC APPLlCATlON.docx Page 2 ol 4 408 EIE f] otn", - Print Race: Do you consfder youreelf to be Spanlrh, Hlspanlc or La0no/a? Mark the "Non box il not Spanish, Hispanic, Latirc/a. El nroE v", Do you conclder yourtelf Phyelcally Dlcabled? No Yes NOTE: lF APPOINTED, YOU mLL BE REQUIRED TO FOLLOW GERTAIN LAWS THAT APPLY TO GITY BOARD/COiTMITIEE MEMBERS. THESE LAWS INCLUDE, BUT ARE NOT LIMITED TO:o Prohibition from directly or indirec'tly lobbying City personnel (Miami Beacfi City Code sec{ion 2459).o Prohibition from contrac'ting with the Oty (Miami-Dade County Code eec'tion 2-'l'1.1).o Prohibition fiom lobbying before the board/committee you have served on for period of one year ater leaving offce (Miami Beacfi City Code section 2-26).o Requirement to disclme certain financial interests and gifrs (Miami-Dade Coung Code seclion 2-11.1).o CMB Community Development Advisory Committee: prohibition, during tenure and for one year after leaving office, ftorn having any interest in or receiving any benefit from Community Developmenl Block Grant tunds for either yourself, or those with whom you have bueiness or immediate family ties (CFR 570.611).o Sunshine Law - Florida's Govemment-in-the-Sunshine Law was enacted in 1967. Today, the Sunshine Law regarding opengovemment can be found in Chapter 286 of the Florida Statutes. These statutes establish a basic right of acccss to most meetings of boards, commissions and other governing bodi$ of state and local govemmental agencies or authorities. o Voting conf,ict - Form 88 is for use by any person serving at the county, city or other local level of govemmcnt on an appointed or elecied board, council, commission, authority or @mmittee. lt applies equally to members of advisory and non-advisory bodies who are presented with a voting conllict of interest under Sec'tion 112.3143, Florida Statutes. Upon request, coples of trere larvr may be obtalncd fiom the Clty Clerlc I HEREBY ATTEST TO THE ACCURACY AND TRUTHFULNESS OF THE APPLICATION; AND I HAVE RECEIVED, READ AND WILL ABIDE BY CHAPTER 2, ARTICI.E VII, OF THE MIAiII BEACH CITY CODE, ENTITLED "STANDARDS OF CONDUCT FOR CITY OFFICERS, EMPLOYEES AND AGENCY ITIEMBERS AND ALL OTHER APPLICABLE COUNTY AilD/OR STATE LAWS AND STA Y." t/tlaut .j GF,t L,*rr) Date Name of Appllcant (PLE{SE PRINr) Received in the Office of the City Clerk by: Name of Deputy Clerk Control No.Date COPY OF ANYATTACH A CURRENT RESUME, PHOTOGRAPH AND A APPLICABLE PROFESSIONAL LICENSE. ATTACH ADDITIONAL SHEETS, IF NECESSARY, TO PROVIDE REQUIRED INFORMATION. ClUgorsELERQucREcahop\8c APPLlCATlON.docx Page 3 of4 409 Jeff Lehman 9532 Byron Avenue Surfside. FL 33 154 (305) 720-9599 - Personal Cell (305) 397-0975 - Fax Email : .1. N'I.[.ehnrarrr'i.r, nre.c(,)rTr Dynamic leader with extensive luxury General lVlanager and Managing Director experience. Proven success in creating award winning culture, driving prolitability in underperforming assets, garnering valuable PR in highly competitive markets, and streamlining efliciency resulting in greater profitability and owner satisfaction. (.orc ( ornpetencies Revenue Management Quality Enhancement Awards & PR values Honest & Transparent (lerreer Strengths Financial Analysis Guest Relationships Engineering and PM Luxury Merkets HR efliciency Legal & Contracting Creative Sales New Marketing Strategies Risk Management Bilingual English/Spanish Respected Community Leader CAM Licensed (Florida) Financial Creative with Proven Results. Produced 20% RevPar gains year over year in l'' 3 years with the Betsyr Consistently achieved 120o/o or more RevPar pcnetration against Comp Setsr Created an environment where EC & entire team shares in profitability successes Proven Luxury Leaderr Achieved Conde Nast Gold List in 201 7 - I of only 4 Florida Hotels. I'r Forbes Four Star Boutique Hotel in South Florida. Led Betsy to unprecedented luxury press accolades Operational Expert & Strong Motivator. Managed 145 person Housekeeping Department at the Biltmore Hotel. Los Angeles. Handled ultra-luxury, celebrity driven Front Office position in West Hollywood (Sunset Marquis)r Several years in basic training with core brand Holiday lnn and Crowne Plaza. 30+ years' experience in Accounting, Engineering, Front Office, Cuest Services, Banquets, and HR, with 20 years as General Vanager or Managing Director Associations & Personal Current Board Member & Past Chair: Miami Beach Visitor & Convention Authority Current Board Member: Surfside Tourist Board Pest Board Member: Creater Miami Convention & Visitors Bureau Past Board Memher: Miami Beach Convention Center Advisory Board Vice Chairperson: Collins Avenue (Miami Beach) Reconstruction Task Force Diplomatic Visit: to Fujisawa Japan in March 2009 with Miami Beach Mayor & Delegation Key to the City of Miami Beach: Received in 2006 for extensive Cornmunity Service Prol'cssional E rperiencc r FIRsT SERvICE RESIDENTIAL Regionel Director.20l7 - Present Miami Beach, FL North America's largesl residential managemenl companv. In thi.s role I have oversite ol t hi rise condominiurns on Miami Beach: Setai,Apogee, Ocean House, Beach House S,Carribbeanm Mosaic, ILVillagio. l500Oceanand Bel-Aire . Transition to residential management from hospitality background. bringing higher standards to high end residences. As part of the hi rise division at FSR, our team has not lost a single contract in scven years. lmproving relationships with Associations, Board of Directors and Propefty Managers and their teams 410 TIIt, BITSY SoUT}I BEAC}I Managing Director, 2010-201 7 Miami Beach, FL Lilestyle Ocean Drive Hotel wilh 6l rooms, recently expanded b 130 rooms, 2 restaurants, 4 lounges. 225 employees and revenues of $25MM ' Project managed $35MM expansion, maintained top l0 TripAdvisor rating & achieved Conde Nast Gold List. Drove ADR by over $100 while maintaining occupancy and Guest ratings' Managed third-party BLT Steak contract for 5 years, as well as the transition lo a proprietary F&B operation TIIE CI-aRIocE HoTEL General Manager. 2007-2010 Miami Beach, FL Bctutique Hotel located in soon to be developed area o/'Mid Beach , Migrated property from Clarion Hotels to Preferred Hotels & Resorts. Itnproved ratings and facility to ready the hotel for sale to new "Faena District" development. Handled all executive operations for small (50 room) property TTII. NATIONAI, HoTEL Managing Director, 1997-2007 Miami Beach, FL Pre-opening and launch of 152 room historic property located next door to Miami Beach's Delano Hotel. Arguably the most ./bmous swimming pool at the time, with 100 employees and revenues ef $lSmm annual . Achicved substantial financial profitability by end of year 2 in this highly competitive market. Assisted with the creation of Preferred Hotel's "Preferred Boutique" brand, and helped la 'nch this nationwider Created service culture and hotel product which achieved record hotel sale in 2007 of $394K per key TIII.. PALMS SOU'TH BI]ACH Managing Director, 2001-2003 Miarni Beach, FL Took over mdnagement of this 242 room / 160 employee hotel to renovate and reposition during tenure at The Nutional Hotel with lhe same ownership group. r Project managed $8MM renovation (2001 budget for renovation)r Completely replaced Executive Committee to align new hotel with owner's expectations. Repositioned hotel from 3 star FIT to 4 star resort and drove corresponding RevPAR Prior Positions: Bass Hotels & Resorts: Seattle, WA; L.A. and Santa Monica, CA; Cocoa Beach FL The Sunset Marquis, West Hollywood. CA American Hawaii Cruises. SS Independence, SS Constitution, SS Libert6 - Honolulu, Hl & Papeete, Tahiti Le Parc Hotel Deluxe. West Hollywood, CA The Biltmore, Los Angeles. CA Miscellaneous Facts ' ",l"a",), t*rt-t CAM Certified. English / Spanish Bilingual. US Citizen (Hometown Los Angeles) Prof'essional Rel'ereuces (Contact irrl'orlrration on requcsl ) William Talbert, President & CEO. Creater Miami Convention & Visitors Bureau Wendy Kallergis, CEO, Greater Miami & the Beaches Hotel Association Jorge Con:zalez,City Manager, Town of Bal Harbour tleiko Dobrikow, EVP & General Manager, The Las Olas Co / The Riverside Hotel Ncisen Kasdin, Attorncy & Formcr Mayor of Miami Beach 411 THIS PAGE INTENTIONALLY LEFT BLANK 412 Christopher Rollins 413 THIS PAGE INTENTIONALLY LEFT BLANK 414 g MIAMIBEACH NAME: Rollins CITY OF MIAMIBEACH BOARD AND COMMITTEE APPLICATION FORM Ghristopher Last Name First Name HOME ADDRESS: 650 NE 32nd Street, Unit 3003 Miami Middle lnitial Florida 33137 Apt No. Home No./Street PHONE: (30517724672 City State Zip Code chris. rollins@southbeachgroup.com Home Work Business Name: South Beach Group Hotels lnc. Position: Executive Address: 855 Collins Ave Email Address Miami Beach Florida 33139 State Zip Code Pursuant to City Code section 2-22141a and b: Members of agencies, boards, and committees shall be affiliated with the city; this requirement shall be fulfilled in the following ways: a) an individual shall have been a resident of the city for a minimum of six months; or b) an individual shall demonstrate ownership/interest for a minimum of six months in a business established in the city. o Resident of Miami Beach for a minimum of six (6) months No o Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: Yes o Are you a registered voter in Miami Beach: No r (Please eirsle one): I am now a resident of: o I am applying for an appointment because I have special abilities, knowledge and experience. Please list below: 19 years hospitality Management & Development o Are you presently a registered lobbyist with the City of Miami Beach? No Please list your preferences in order of ranking [1] first choice [2] second choice, and [3] third choice. Please note that only three (3) choices will be observed bv the City Clerk's Office. (Regular Boards of City) Ghoice 1: Visitor and Convention Authority Choice 2: Ghoice 3: * Board members are required to file Form 1 - "statement of Financial lnterest" with the State. lf you seek appointment to a professional seat (e.9., lawyer, architect, etc.) on the Board of Adjustment, Design ReviewBoard, Historic Preservation Board or Planning Board, attach a copy of your currentlyeffectively license, and furnish thefollowing information: Type of Professional License City License lssuance Date License Number License Expiration Date Note: lf applying for Youth Advisory Board, please indicate your affiliation with the Scott Rakow Youth Center: 1. Past service on the Youth Center Advisory Board: 1o years of Service: 2. Present participation in Youth Center activities by your children No if yes, please list the names of your children, their ages, and which programs. List below: 415 . Have you ever been convicted of a felony: No lf yes, please explain in detail: o Do you currently have a violation(s) of City of Miami Beach codes: No lf yes, please explain in detail: . Do you currently owe the City of Miami Beach any money: No lf yes, please explain in detail: o Are you currently serving on any City Boards or Committees: No lf yes, which board? o What organizations in the City of Miami Beach do you currently hold membership in? o I am now employed by the city of Miami Beach: No Which department? o List all properties owned or have an interest in, which are located within the City of Miami Beach: Gender: Male The following information is voluntary and is neither part of your application nor has any bearing on your consideration for appointment. lt is being asked to comply with federal equal opportunity reporting requirements. Race/Ethnic CategoriesWhat is your race? Mark one or more races to indicate what you consider yourself to be. White Other Description: Are you Spanish/Hispanic/ Latino? Mark the "No" box if not Spanish / Hispanic / Latino. No PhysicallyChallenged: No NOTE: lf appointed, you will be required to follow certain laws whlch apply to clty board/commlttee members. These laws include, but are not limited to, the followlng: o Prohibition from directly or indirectly lobbying city personnel (Miami Beach City Code section 2-459).o Prohibition from contracting with the city (Miami-Dade County Code section 2-11.1).o Prohibition from lobbying before board/committee you have served on for period of one year after leaving office (Miami Beach Code section 2-26).o Requirement to disclose certain financial interests and gifts (Miami-Dade County Code section 2-1 1.1). (re: CMB Community Development Advisory Committee): prohibition, during tenure and for one year after leaving office from having any interest in or receiving any benefit from Community Development Block Grant funds for either yourself or those with whom you have business or immediate family ties (CFR 570.61 1). Upon request, copies of these laws may be obtained from the City Clerk. "l hereby attest to the accuracy and truthfulness of the appllcatlon and have received, read and will ablde by Chapter 2, ArtlcleVll - of the City Code "Standards of Conduct for Clty Offlcers, Employees and Agency Members." I Christopher Rollins agreed to the following terms on Received in the City Clerk's Office by: Name of Deputy Clerk Control No.Date 416 417